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 $104.71 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $104.71 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $47.86 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $66.07 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $74.13 | $117.49 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 26 · Professional part | $50.12 | $52.48 | $56.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $380.19 | Professional | None (both parts) | $93.33 | $120.23 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $44.67 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $234.42 | Professional | TC · Technical part | $51.29 | $60.26 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $229.09 | Professional | None | $125.89 | $147.91 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $63.10 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $85.11 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $114.82 | $186.21 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $53.70 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $66.07 | $123.03 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $123.03 | $123.03 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $53.70 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $67.61 | $112.20 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $85.11 | $91.20 | $91.20 |
Where Maryland sits
The same service costs 4.8 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
$123
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.