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 $104.71 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $104.71 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $35.48 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $69.18 | $69.18 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $41.69 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $41.69 | $158.49 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $37.15 | $50.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $134.90 | $134.90 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $89.13 | $100.00 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $67.61 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $186.21 | Professional | None | $109.65 | $125.89 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $72.44 | $83.18 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $123.03 | $194.98 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $158.49 | $257.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $31.62 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
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 $52.48 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $21.88 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $83.18 | $89.13 |
Where Maryland sits
The same service costs 5.2 times more in North Dakota 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· 46th of 51
$120
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.