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 $72.44 Median $97.72 Typical High $144.54 | Facility | None | $72.44 | $97.72 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $147.91 | Professional | None (both parts) | $72.44 | $77.62 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $27.54 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $50.12 | $93.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $32.36 | $81.28 | $91.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $28.84 | $29.51 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $52.48 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $72.44 Typical High $158.49 | Professional | None (both parts) | $64.57 | $72.44 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $26.30 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $40.74 | $46.77 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $154.88 | Professional | None | $87.10 | $102.33 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $37.15 | $53.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $66.07 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $69.18 | $83.18 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $29.51 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $53.70 | $109.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $70.79 | $70.79 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $26.30 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $44.67 | $87.10 |
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 $36.31 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $57.54 | $61.66 | $61.66 |
Where Maryland sits
The same service costs 3.6 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
$77.62
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.