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 $229.09 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $229.09 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $85.11 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $141.25 | $141.25 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $95.50 | $186.21 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $107.15 | $131.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $213.80 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $169.82 | Facility | None | $89.13 | $104.71 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $199.53 | $218.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $85.11 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $131.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $446.68 | Professional | None | $275.42 | $323.59 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $112.20 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $208.93 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $158.49 | $218.78 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $128.82 | $213.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $165.96 | $165.96 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $61.66 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $102.33 | $239.88 |
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 $112.20 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | FX · Film X-ray | $181.97 | $181.97 | $194.98 |
Where Maryland sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 44th of 51
$219
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.