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 $2,630.27 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $2,630.27 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $47.86 | Professional | 26 · Professional part | $44.67 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,754.23 Typical High $2,884.03 | Professional | TC · Technical part | $2,630.27 | $2,754.23 | $2,884.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $48.98 Median $3,388.44 Typical High $3,801.89 | Professional | None (both parts) | $48.98 | $3,388.44 | $3,801.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $54.95 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,388.44 Typical High $3,388.44 | Professional | TC · Technical part | $3,162.28 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $208.93 | $234.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $43.65 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $190.55 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $501.19 | Professional | None | $275.42 | $323.59 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $60.26 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $263.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $2,454.71 Typical High $6,309.57 | Professional | None (both parts) | $239.88 | $2,454.71 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $53.70 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $2,454.71 Typical High $6,165.95 | Professional | TC · Technical part | $194.98 | $2,454.71 | $6,165.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $5,128.61 Typical High $5,495.41 | Professional | None (both parts) | $3,890.45 | $5,128.61 | $5,495.41 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $77.62 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $77.62 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $5,495.41 | Professional | TC · Technical part | $43.65 | $43.65 | $5,495.41 |
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 $1,318.26 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,318.26 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $524.81 | $562.34 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,089.30 Median $2,238.72 Typical High $2,344.23 | Professional | FX · Film X-ray | $2,089.30 | $2,238.72 | $2,344.23 |
Where Maryland sits
The same service costs 15.1 times more in Colorado 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· 5th of 51
$2,884
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.