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 $52.48 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $52.48 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $21.88 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $47.86 | Professional | TC · Technical part | $31.62 | $34.67 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $23.44 | $60.26 | $67.61 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $23.44 | $30.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $37.15 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $47.86 | $53.70 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $20.89 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $32.36 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | None | $61.66 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $28.84 | $37.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $42.66 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $134.90 | Professional | None (both parts) | $47.86 | $60.26 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $19.95 | $25.70 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $35.48 | $77.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $50.12 | $50.12 | $97.72 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $20.42 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $30.20 | $58.88 |
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 $26.30 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $42.66 | $45.71 | $45.71 |
Where Maryland sits
The same service costs 3.8 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
$57.54
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.