How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $371.54 Median $380.19 Typical High $537.03 | Facility | None | $371.54 | $380.19 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $398.11 | $426.58 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $97.72 | $125.89 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $302.00 | $467.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $79.43 | $407.38 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $74.13 | $102.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $323.59 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $275.42 | $501.19 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $54.95 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $407.38 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $501.19 | Professional | None | $323.59 | $371.54 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $257.04 | $295.12 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $234.42 | $416.87 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $29.51 | $64.57 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $346.74 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $316.23 | $316.23 | $512.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $64.57 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $251.19 | $251.19 | $407.38 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $323.59 | $338.84 |
Where Maryland sits
The same service costs 5.1 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 37th of 51
$407
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.