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 $120.23 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $46.77 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $74.13 | $81.28 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $87.10 | $134.90 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $52.48 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $81.28 | $95.50 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $107.15 | $138.04 | $389.05 |
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 $67.61 Median $77.62 Typical High $275.42 | Professional | TC · Technical part | $67.61 | $77.62 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $251.19 | Professional | None | $141.25 | $165.96 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $61.66 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $104.71 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $125.89 | $204.17 | $426.58 |
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 $79.43 Median $141.25 Typical High $346.74 | Professional | TC · Technical part | $79.43 | $141.25 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $141.25 | $141.25 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $52.48 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $87.10 | $141.25 |
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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Maryland sits
The same service costs 4.3 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
$135
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.