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 $112.20 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $112.20 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $72.44 | $95.50 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $51.29 | $85.11 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $53.70 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $75.86 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $389.05 | Professional | None (both parts) | $100.00 | $125.89 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $45.71 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $245.47 | Professional | TC · Technical part | $58.88 | $67.61 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $239.88 | Professional | None | $138.04 | $158.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $64.57 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $97.72 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $120.23 | $194.98 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $54.95 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $346.74 | Professional | TC · Technical part | $72.44 | $128.82 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $131.83 | $131.83 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $54.95 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $75.86 | $128.82 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $95.50 | $95.50 |
Where Maryland sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$126
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.