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 $114.82 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $74.13 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $51.29 | $128.82 | $144.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $53.70 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $89.13 | Professional | TC · Technical part | $77.62 | $85.11 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $407.38 | Professional | None (both parts) | $102.33 | $125.89 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $45.71 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $263.03 | Professional | TC · Technical part | $60.26 | $69.18 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $288.40 | Professional | None | $131.83 | $154.88 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $63.10 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $93.33 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $123.03 | $208.93 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $56.23 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $74.13 | $154.88 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $131.83 | $131.83 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $54.95 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $77.62 | $125.89 |
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 $57.54 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $91.20 | $97.72 | $97.72 |
Where Maryland sits
The same service costs 4.9 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· 47th of 51
$129
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.