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 $120.23 Median $128.82 Typical High $131.83 | Professional | None (both parts) | $120.23 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $57.54 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $64.57 | $70.79 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $83.18 | $138.04 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $69.18 | $69.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $109.65 | $138.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $54.95 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $239.88 | Professional | TC · Technical part | $58.88 | $67.61 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $257.04 | Professional | None | $144.54 | $165.96 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $75.86 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $91.20 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $131.83 | $208.93 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $67.61 | $144.54 |
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 $141.25 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $141.25 | $141.25 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $66.07 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $75.86 | $123.03 |
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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Maryland sits
The same service costs 4.7 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
$138
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.