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 $25.70 Median $27.54 Typical High $27.54 | Professional | None (both parts) | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.71 | $8.91 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $16.98 | $18.62 | $18.62 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.55 Median $19.50 Typical High $30.20 | Professional | None (both parts) | $9.55 | $19.50 | $30.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $9.55 | $10.72 | $10.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $16.60 Typical High $22.39 | Professional | TC · Technical part | $6.46 | $16.60 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.70 Typical High $52.48 | Professional | None (both parts) | $22.91 | $25.70 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $19.05 | Professional | 26 · Professional part | $7.76 | $8.51 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.38 Typical High $35.48 | Professional | TC · Technical part | $15.14 | $17.38 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $14.45 | Professional | 26 · Professional part | $9.55 | $11.22 | $14.45 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $18.62 | $21.88 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $107.15 | Professional | None (both parts) | $33.11 | $45.71 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $7.41 | $10.23 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $35.48 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None (both parts) | $12.59 | $12.59 | $12.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.13 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $14.13 | $14.79 |
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 $12.88 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.13 | $5.50 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $20.42 | $21.88 | $21.88 |
Where Maryland sits
The same service costs 4.7 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· 49th of 51
$26.92
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.