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 $204.17 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $204.17 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $19.50 | $19.95 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | TC · Technical part | $181.97 | $186.21 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $23.44 | $208.93 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $25.12 | Professional | 26 · Professional part | $19.50 | $20.89 | $25.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $194.98 | $229.09 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $154.88 | $204.17 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $58.88 | Professional | 26 · Professional part | $16.98 | $19.95 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $186.21 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $446.68 | Professional | None | $245.47 | $281.84 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $26.30 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $251.19 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $131.83 | $213.80 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $56.23 | Professional | 26 · Professional part | $16.98 | $23.44 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $194.98 Typical High $575.44 | Professional | TC · Technical part | $109.65 | $194.98 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $389.05 | Professional | None (both parts) | $141.25 | $141.25 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $35.48 | Professional | 26 · Professional part | $13.80 | $13.80 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $128.82 | $354.81 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $165.96 | $181.97 |
Where Maryland sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 39th of 51
$209
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.