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 $89.13 Median $114.82 Typical High $177.83 | Facility | None | $89.13 | $114.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $89.13 | $95.50 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $25.70 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $70.79 | $125.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $77.62 | $97.72 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | 26 · Professional part | $26.92 | $26.92 | $30.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $66.07 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $75.86 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $23.99 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $63.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $151.36 | Professional | None | $100.00 | $114.82 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $31.62 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $81.28 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $218.78 | Professional | None (both parts) | $66.07 | $93.33 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.92 Typical High $60.26 | Professional | 26 · Professional part | $17.78 | $26.92 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $154.88 | Professional | TC · Technical part | $45.71 | $66.07 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | None (both parts) | $70.79 | $70.79 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $20.42 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $50.12 | $114.82 |
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 $44.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $70.79 | $75.86 | $75.86 |
Where Maryland sits
The same service costs 3.8 times more in Alaska 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· 40th of 51
$95.50
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.