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 $107.15 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $107.15 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $45.71 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $67.61 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $47.86 | $120.23 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $47.86 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $72.44 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $380.19 | Professional | None (both parts) | $95.50 | $125.89 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $42.66 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $239.88 | Professional | TC · Technical part | $54.95 | $64.57 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $234.42 | Professional | None | $125.89 | $144.54 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $60.26 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $87.10 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $114.82 | $186.21 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $54.95 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $67.61 | $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 $51.29 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $51.29 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $72.44 | $72.44 | $117.49 |
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 $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $22.91 | $22.91 |
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 4.9 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· 47th of 51
$120
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.