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 $165.96 Median $165.96 Typical High $181.97 | Facility | None | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $131.83 | $141.25 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $72.44 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $67.61 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $138.04 | $162.18 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $72.44 | $77.62 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $77.62 | Professional | TC · Technical part | $70.79 | $75.86 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $407.38 | Professional | None (both parts) | $117.49 | $147.91 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $69.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $245.47 | Professional | TC · Technical part | $53.70 | $63.10 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $275.42 | Professional | None | $158.49 | $181.97 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $79.43 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $87.10 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $144.54 | $229.09 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $43.65 | $77.62 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $346.74 | Professional | TC · Technical part | $69.18 | $141.25 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $154.88 | $154.88 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $83.18 | $125.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $70.79 | $117.49 |
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 $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $107.15 | $112.20 | $112.20 |
Where Maryland sits
The same service costs 4.1 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· 46th of 51
$158
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.