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 $138.04 Median $151.36 Typical High $218.78 | Facility | None | $138.04 | $151.36 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $109.65 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $33.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $85.11 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $85.11 | $114.82 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $36.31 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $95.50 | $109.65 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $32.36 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $75.86 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Professional | None | $128.82 | $147.91 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $43.65 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $102.33 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $275.42 | Professional | None (both parts) | $85.11 | $120.23 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $38.02 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $79.43 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $89.13 | $89.13 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $27.54 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $61.66 | $144.54 |
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 $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $95.50 | $95.50 |
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· 43rd of 51
$115
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.