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 $380.19 Median $398.11 Typical High $537.03 | Facility | None | $380.19 | $398.11 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $398.11 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $112.20 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $281.84 | $302.00 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $95.50 | $416.87 | $467.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $89.13 | $104.71 | $104.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $316.23 | $323.59 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $281.84 | $524.81 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $64.57 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $398.11 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $616.60 | Professional | None | $331.13 | $380.19 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $89.13 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $295.12 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $245.47 | $426.58 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $79.43 Typical High $186.21 | Professional | 26 · Professional part | $35.48 | $79.43 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $346.74 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $323.59 | $323.59 | $524.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $77.62 | $117.49 |
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 5.4 times more in Wyoming than in Texas. 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· 39th of 51
$417
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.