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 $316.23 Median $346.74 Typical High $524.81 | Facility | None | $316.23 | $346.74 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $257.04 | $275.42 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $100.00 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $173.78 | $389.05 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $446.68 | $524.81 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $131.83 Typical High $144.54 | Professional | 26 · Professional part | $128.82 | $131.83 | $144.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | TC · Technical part | $371.54 | $398.11 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $588.84 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $95.50 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $251.19 | $436.52 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $676.08 | Professional | None | $436.52 | $501.19 | $676.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $128.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $323.59 | $371.54 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $489.78 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $489.78 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $251.19 | Professional | 26 · Professional part | $54.95 | $112.20 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $389.05 | $776.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $302.00 | $302.00 | $478.63 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $112.20 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $190.55 | $309.03 |
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 $128.82 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $128.82 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $54.95 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $204.17 | $218.78 | $218.78 |
Where Maryland sits
The same service costs 6.8 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· 31st of 51
$479
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.