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 $138.04 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $138.04 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $54.95 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $95.50 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $123.03 | $173.78 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $60.26 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $114.82 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $120.23 | $162.18 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $53.70 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $107.15 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $302.00 | Professional | None | $186.21 | $239.88 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $125.89 | $158.49 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $93.33 | $138.04 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $40.74 | $53.70 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $83.18 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $288.40 | Professional | None (both parts) | $95.50 | $95.50 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $33.88 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $60.26 | $181.97 |
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 $69.18 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $112.20 | $120.23 |
Where Maryland sits
The same service costs 4.9 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· 39th of 51
$151
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.