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 $114.82 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $114.82 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $39.81 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $85.11 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $58.88 | $128.82 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $112.20 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $117.49 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $38.02 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $79.43 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $213.80 | Professional | None | $141.25 | $162.18 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $52.48 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $109.65 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $338.84 | Professional | None (both parts) | $97.72 | $151.36 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $21.88 | $46.77 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $66.07 | $114.82 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $107.15 | $107.15 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $35.48 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $70.79 | $147.91 |
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 $57.54 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $25.12 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $100.00 | $100.00 |
Where Maryland sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$129
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.