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 $95.50 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $95.50 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $43.65 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $60.26 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $60.26 | $107.15 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $45.71 | $51.29 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $83.18 | $95.50 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $53.70 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $169.82 | Professional | None | $114.82 | $131.83 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $54.95 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $72.44 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $245.47 | Professional | None (both parts) | $81.28 | $109.65 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $34.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $74.13 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $91.20 | $91.20 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $40.74 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $51.29 | $100.00 |
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 $47.86 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $83.18 | $83.18 |
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· 43rd of 51
$107
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.