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 $100.00 Median $100.00 Typical High $131.83 | Facility | None | $100.00 | $100.00 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $100.00 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $83.18 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $31.62 | $112.20 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $28.84 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | TC · Technical part | $83.18 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $87.10 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $25.70 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $74.13 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $199.53 | Professional | None | $109.65 | $138.04 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $35.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $102.33 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $81.28 | $112.20 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $29.51 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $83.18 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $95.50 | $95.50 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $25.70 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $69.18 | $134.90 |
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 $54.95 | Professional | 52 · Reduced service | $50.12 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $81.28 | $83.18 | $87.10 |
Where Maryland sits
The same service costs 3.9 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· 43rd of 51
$110
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.