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 $134.90 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $134.90 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $89.13 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $154.88 Typical High $173.78 | Professional | None (both parts) | $51.29 | $154.88 | $173.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $57.54 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $104.71 | $109.65 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $416.87 | Professional | None (both parts) | $123.03 | $147.91 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $45.71 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $93.33 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $275.42 | Professional | None | $162.18 | $186.21 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $63.10 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $125.89 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $144.54 | $229.09 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $54.95 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $162.18 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $158.49 | $158.49 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $54.95 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $104.71 | $169.82 |
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 $67.61 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $26.92 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $109.65 | $117.49 | $117.49 |
Where Maryland sits
The same service costs 4.4 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· 47th of 51
$155
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.