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 $131.83 Typical High $199.53 | Facility | None | $100.00 | $131.83 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $100.00 | $107.15 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $24.55 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $83.18 | $151.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $95.50 | $112.20 | $123.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $28.18 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $85.11 | $85.11 | $102.33 |
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 $20.89 Median $22.91 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $22.91 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $75.86 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $194.98 | Professional | None | $114.82 | $138.04 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $31.62 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $107.15 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $77.62 | $112.20 | $234.42 |
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 $58.88 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $87.10 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $93.33 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $22.39 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $70.79 | $141.25 |
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 $53.70 | Professional | 52 · Reduced service | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $83.18 | $87.10 |
Where Maryland sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 40th of 51
$112
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.