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 $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $144.54 | $151.36 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $81.28 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $70.79 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $151.36 | $173.78 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $87.10 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $128.82 | $165.96 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $77.62 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $251.19 | Professional | TC · Technical part | $57.54 | $66.07 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $302.00 | Professional | None | $173.78 | $199.53 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $104.71 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $91.20 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $154.88 | $245.47 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $194.98 | Professional | 26 · Professional part | $51.29 | $85.11 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $70.79 | $151.36 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $165.96 | $165.96 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $93.33 | $141.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $74.13 | $123.03 |
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 $70.79 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $114.82 | $120.23 | $120.23 |
Where Maryland sits
The same service costs 5.1 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· 46th of 51
$170
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.