How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $100.00 | $107.15 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $48.98 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $57.54 | $120.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $64.57 | $109.65 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $57.54 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $58.88 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $89.13 | $120.23 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $144.54 | Professional | 26 · Professional part | $42.66 | $54.95 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $181.97 | Professional | TC · Technical part | $45.71 | $61.66 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $245.47 | Professional | None | $120.23 | $141.25 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $64.57 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $75.86 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $100.00 | $144.54 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $60.26 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $56.23 | $83.18 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $114.82 | $114.82 | $186.21 |
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 $58.88 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $58.88 | $100.00 |
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 $50.12 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $21.38 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $85.11 | $85.11 |
Where Maryland sits
The same service costs 5.6 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
$117
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.