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 $107.15 Median $141.25 Typical High $213.80 | Facility | None | $107.15 | $141.25 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $107.15 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $29.51 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $87.10 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $31.62 | $97.72 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $31.62 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $89.13 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $93.33 | $107.15 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $27.54 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $79.43 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $229.09 | Professional | None | $125.89 | $147.91 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $38.90 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $109.65 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $85.11 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $30.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $87.10 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $97.72 | $97.72 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $26.30 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $70.79 | $144.54 |
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 $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $89.13 | $93.33 |
Where Maryland sits
The same service costs 3.6 times more in Alaska 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· 45th of 51
$110
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.