How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $398.11 | $426.58 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $117.49 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $112.20 | $338.84 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $89.13 | $100.00 | $102.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $288.40 | $316.23 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $537.03 Typical High $1,047.13 | Professional | None (both parts) | $269.15 | $537.03 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $69.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $870.96 | Professional | TC · Technical part | $204.17 | $407.38 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $616.60 | Professional | None | $323.59 | $371.54 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $93.33 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $275.42 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $912.01 | Professional | None (both parts) | $281.84 | $426.58 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $38.90 | $83.18 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $346.74 | $776.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $316.23 | $316.23 | $501.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $81.28 | $125.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $234.42 | $234.42 | $380.19 |
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 5.6 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· 43rd of 51
$398
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.