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 $125.89 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $125.89 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $45.71 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $89.13 | $181.97 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $138.04 | $151.36 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $53.70 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $97.72 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $398.11 | Professional | None (both parts) | $114.82 | $144.54 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $43.65 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $281.84 | Professional | TC · Technical part | $74.13 | $87.10 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $263.03 | Professional | None | $151.36 | $177.83 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $60.26 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $117.49 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $131.83 | $213.80 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $53.70 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $85.11 | $154.88 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $151.36 | $151.36 | $239.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $51.29 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $97.72 | $158.49 |
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 $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $102.33 | $109.65 | $109.65 |
Where Maryland sits
The same service costs 4.2 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
$151
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.