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 $64.57 Median $70.79 Typical High $104.71 | Facility | None | $64.57 | $70.79 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $114.82 | Professional | None (both parts) | $52.48 | $56.23 | $114.82 |
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 $28.18 Median $31.62 Typical High $75.86 | Professional | TC · Technical part | $28.18 | $31.62 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $26.30 | $60.26 | $67.61 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $38.90 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $131.83 | Professional | None (both parts) | $47.86 | $54.95 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $23.44 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $85.11 | Professional | TC · Technical part | $26.92 | $30.90 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $104.71 | Professional | None | $64.57 | $75.86 | $104.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $32.36 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $36.31 | $43.65 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $51.29 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $26.92 | $52.48 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $57.54 | $57.54 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $25.70 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $32.36 | $57.54 |
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 $10.47 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $11.22 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | FX · Film X-ray | $41.69 | $44.67 | $44.67 |
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· 48th of 51
$60.26
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.