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 $87.10 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $72.44 | $79.43 | $79.43 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $16.98 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $16.98 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $19.05 | Professional | 26 · Professional part | $16.60 | $18.62 | $19.05 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $81.28 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $72.44 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $15.14 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $72.44 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $162.18 | Professional | None | $102.33 | $123.03 | $162.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $18.62 | $21.38 | $28.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $100.00 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $60.26 | $89.13 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $18.20 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $46.77 | $72.44 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | None (both parts) | $64.57 | $64.57 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $11.75 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $141.25 | Professional | TC · Technical part | $52.48 | $52.48 | $141.25 |
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 $43.65 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.38 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $69.18 | $75.86 | $75.86 |
Where Maryland sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 39th of 51
$95.50
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.