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 $102.33 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $102.33 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $30.20 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $81.28 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $32.36 | $114.82 | $128.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $36.31 | $39.81 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $91.20 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $28.84 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $74.13 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $199.53 | Professional | None | $125.89 | $147.91 | $199.53 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $107.15 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $83.18 | $114.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $33.11 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $83.18 | $177.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $95.50 | $95.50 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $28.18 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $67.61 | $141.25 |
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 $51.29 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $87.10 | $89.13 |
Where Maryland sits
The same service costs 3.9 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· 45th of 51
$112
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.