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 $74.13 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $25.12 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.20 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $30.20 | $204.17 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $29.51 | Professional | 26 · Professional part | $26.92 | $27.54 | $29.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $169.82 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $173.78 | Professional | None (both parts) | $66.07 | $74.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $24.55 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $48.98 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $154.88 | Professional | None | $85.11 | $97.72 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $33.88 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $64.57 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $120.23 | $151.36 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $21.88 | $29.51 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $123.03 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $22.39 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
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 $37.15 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $37.15 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $15.85 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $58.88 | $63.10 | $63.10 |
Where Maryland sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 25th of 51
$141
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.