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 $100.00 | Professional | None (both parts) | $91.20 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.39 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $69.18 | $72.44 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $23.99 | $77.62 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $26.92 | $26.92 | $33.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $60.26 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $81.28 | $91.20 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $21.38 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $70.79 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $162.18 | Professional | None | $100.00 | $114.82 | $162.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $27.54 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $89.13 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $97.72 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $23.44 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $91.20 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $19.95 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
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 $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $18.62 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | FX · Film X-ray | $74.13 | $74.13 | $79.43 |
Where Maryland sits
The same service costs 4.0 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· 50th of 51
$87.10
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.