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 $91.20 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $23.99 | $24.55 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $67.61 | $72.44 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $25.70 | $234.42 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $28.18 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $208.93 | $234.42 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $79.43 | $89.13 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $22.91 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $66.07 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $186.21 | Professional | None | $102.33 | $117.49 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $30.20 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $87.10 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $131.83 | $158.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $39.81 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $120.23 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
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 $45.71 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $77.62 | $77.62 |
Where Maryland sits
The same service costs 4.2 times more in Nebraska 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· 45th of 51
$145
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.