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 $208.93 Median $208.93 Typical High $229.09 | Facility | None | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $169.82 | $181.97 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $75.86 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $107.15 | $169.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $123.03 | $190.55 | $208.93 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $79.43 | $85.11 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $102.33 | $109.65 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $147.91 | $169.82 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $70.79 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $97.72 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $363.08 | Professional | None | $194.98 | $245.47 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $102.33 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $141.25 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $134.90 | $190.55 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $81.28 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $109.65 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $165.96 | $165.96 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $70.79 | $134.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $93.33 | $186.21 |
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 $85.11 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $134.90 | $144.54 | $144.54 |
Where Maryland sits
The same service costs 5.8 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· 44th of 51
$182
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.