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 $524.81 Median $562.34 Typical High $575.44 | Professional | None (both parts) | $524.81 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $36.31 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $549.54 Typical High $562.34 | Professional | TC · Technical part | $512.86 | $549.54 | $562.34 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $40.74 | $660.69 | $776.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $40.74 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | TC · Technical part | $660.69 | $660.69 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $204.17 | $229.09 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $36.31 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $190.55 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $489.78 | Professional | None | $275.42 | $331.13 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $52.48 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $275.42 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $588.84 Typical High $1,513.56 | Professional | None (both parts) | $204.17 | $588.84 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $42.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $549.54 Typical High $1,412.54 | Professional | TC · Technical part | $169.82 | $549.54 | $1,412.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,047.13 Typical High $1,122.02 | Professional | None (both parts) | $794.33 | $1,047.13 | $1,122.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $64.57 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $1,096.48 | Professional | TC · Technical part | $70.79 | $70.79 | $1,096.48 |
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 $263.03 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $263.03 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $104.71 | $112.20 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $446.68 Typical High $457.09 | Professional | FX · Film X-ray | $416.87 | $446.68 | $457.09 |
Where Maryland sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 21st of 51
$525
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.