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 $25.12 Median $34.67 Typical High $50.12 | Facility | None | $25.12 | $34.67 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $27.54 Typical High $50.12 | Professional | None (both parts) | $25.12 | $27.54 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $6.61 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $20.89 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $28.84 Typical High $32.36 | Professional | None (both parts) | $7.76 | $28.84 | $32.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $7.94 | Professional | 26 · Professional part | $6.92 | $7.08 | $7.94 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | TC · Technical part | $21.88 | $21.88 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $25.70 Typical High $51.29 | Professional | None (both parts) | $22.39 | $25.70 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.17 Typical High $13.80 | Professional | 26 · Professional part | $5.75 | $6.17 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $19.50 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $45.71 | Professional | None | $30.20 | $34.67 | $45.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $8.91 | $12.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $26.30 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.18 Typical High $63.10 | Professional | None (both parts) | $20.89 | $28.18 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.59 Typical High $16.60 | Professional | 26 · Professional part | $5.75 | $7.59 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $46.77 | Professional | TC · Technical part | $15.14 | $19.95 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $47.86 | Professional | None (both parts) | $20.89 | $20.89 | $47.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $12.02 | Professional | 26 · Professional part | $5.25 | $5.25 | $12.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $36.31 | Professional | TC · Technical part | $15.49 | $15.49 | $36.31 |
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 $12.59 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.59 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.01 | $5.50 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $19.95 | $21.88 | $21.88 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 45th of 51
$28.18
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.