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 $123.03 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $123.03 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $22.91 | Professional | 26 · Professional part | $20.42 | $21.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $112.20 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $25.70 | $138.04 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $22.91 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $112.20 | $114.82 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $239.88 | Professional | None (both parts) | $64.57 | $107.15 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $20.42 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $51.29 | $89.13 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $213.80 | Professional | None | $141.25 | $162.18 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $26.92 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $134.90 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $125.89 Typical High $380.19 | Professional | None (both parts) | $56.23 | $125.89 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.39 Typical High $50.12 | Professional | 26 · Professional part | $13.80 | $22.39 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $104.71 Typical High $316.23 | Professional | TC · Technical part | $41.69 | $104.71 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $223.87 | Professional | None (both parts) | $58.88 | $58.88 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $37.15 | Professional | 26 · Professional part | $10.23 | $10.23 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $186.21 | Professional | TC · Technical part | $47.86 | $47.86 | $186.21 |
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 $61.66 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $107.15 | $107.15 |
Where Maryland sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 37th of 51
$132
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.