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 $125.89 Median $154.88 Typical High $169.82 | Facility | None | $125.89 | $154.88 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $125.89 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $38.02 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $97.72 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $97.72 | $138.04 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $39.81 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $107.15 | $123.03 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $35.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $87.10 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $218.78 | Professional | None | $141.25 | $162.18 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $47.86 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $112.20 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $95.50 | $131.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $26.92 | $40.74 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $218.78 | Professional | TC · Technical part | $64.57 | $93.33 | $218.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $100.00 | $100.00 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $30.20 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $70.79 | $158.49 |
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 $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $109.65 | $109.65 |
Where Maryland sits
The same service costs 3.9 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· 41st of 51
$135
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.