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 $446.68 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $446.68 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $20.89 | Professional | 26 · Professional part | $19.05 | $19.50 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $446.68 | $489.78 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $20.42 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $20.42 | $602.56 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.91 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $588.84 Typical High $660.69 | Professional | TC · Technical part | $549.54 | $588.84 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $117.49 | Professional | None (both parts) | $43.65 | $50.12 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $18.62 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $30.20 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | None | $57.54 | $67.61 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $25.70 | $33.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $42.66 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $446.68 Typical High $1,122.02 | Professional | None (both parts) | $60.26 | $446.68 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $22.39 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $426.58 Typical High $1,096.48 | Professional | TC · Technical part | $40.74 | $426.58 | $1,096.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $954.99 | Professional | None (both parts) | $64.57 | $64.57 | $954.99 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $19.05 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $954.99 | Professional | TC · Technical part | $45.71 | $45.71 | $954.99 |
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 $223.87 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $97.72 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $380.19 Typical High $398.11 | Professional | FX · Film X-ray | $363.08 | $380.19 | $398.11 |
Where Maryland sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 12th of 51
$447
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.