How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Facility | None | $36.31 | $36.31 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $36.31 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $13.49 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $23.44 | $25.70 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $38.90 | $41.69 | $46.77 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $14.45 | $15.49 | $15.85 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | TC · Technical part | $27.54 | $27.54 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $85.11 | Professional | None (both parts) | $33.11 | $37.15 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $12.88 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $24.55 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $72.44 | Professional | None | $44.67 | $51.29 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $17.78 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $28.84 | $33.88 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $35.48 | $54.95 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $15.49 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $21.38 | $36.31 | $66.07 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $37.15 | $37.15 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $13.18 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $23.99 | $45.71 |
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 $18.20 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $29.51 | $31.62 | $31.62 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in New York. 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· 47th of 51
$41.69
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.