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 $93.33 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $93.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $13.80 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $89.13 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $87.10 | $104.71 | $114.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.85 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $15.85 | $16.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $89.13 | $89.13 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $77.62 | $93.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $13.18 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $79.43 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $169.82 | Professional | None | $107.15 | $128.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $18.62 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $109.65 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $70.79 | $97.72 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $34.67 | Professional | 26 · Professional part | $12.30 | $15.85 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $81.28 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $177.83 | Professional | None (both parts) | $69.18 | $69.18 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $24.55 | Professional | 26 · Professional part | $10.23 | $10.23 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $58.88 | $154.88 |
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 $46.77 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $46.77 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $74.13 | $81.28 | $81.28 |
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· 32nd of 51
$105
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.