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 $37.15 Median $46.77 Typical High $52.48 | Facility | None | $37.15 | $46.77 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $33.88 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $13.49 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $26.92 | $37.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.45 Median $40.74 Typical High $47.86 | Professional | None (both parts) | $14.45 | $40.74 | $47.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $13.49 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.84 Typical High $32.36 | Professional | TC · Technical part | $28.18 | $28.84 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $17.38 | $34.67 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $26.30 | Professional | 26 · Professional part | $7.76 | $12.02 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $22.91 Typical High $50.12 | Professional | TC · Technical part | $10.72 | $22.91 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $69.18 | Professional | None | $40.74 | $50.12 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $14.45 | $16.98 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $33.88 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $38.02 Typical High $89.13 | Professional | None (both parts) | $16.22 | $38.02 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $13.80 Typical High $32.36 | Professional | 26 · Professional part | $6.31 | $13.80 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $23.99 Typical High $57.54 | Professional | TC · Technical part | $9.77 | $23.99 | $57.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $72.44 | Professional | None (both parts) | $16.22 | $16.22 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $23.44 | Professional | 26 · Professional part | $5.62 | $5.62 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $10.72 Typical High $48.98 | Professional | TC · Technical part | $10.72 | $10.72 | $48.98 |
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 $18.62 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.62 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $29.51 | $31.62 | $32.36 |
Where Maryland sits
The same service costs 9.3 times more in Alaska than in New York. 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· 31st of 51
$38.90
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.