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 $34.67 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $34.67 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $12.59 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $25.12 | $42.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.13 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $14.13 | $38.90 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $12.59 | $12.59 | $15.14 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $28.84 | Professional | TC · Technical part | $24.55 | $26.30 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $29.51 | $34.67 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.22 Typical High $25.12 | Professional | 26 · Professional part | $10.47 | $11.22 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $22.91 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $69.18 | Professional | None | $40.74 | $51.29 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $14.13 | $16.22 | $22.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $27.54 | $33.88 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $26.92 | $34.67 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $13.80 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $21.88 | $47.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $64.57 | Professional | None (both parts) | $27.54 | $27.54 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $21.38 | Professional | 26 · Professional part | $9.33 | $9.33 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $18.20 | $42.66 |
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 $17.38 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.24 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $7.24 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $30.20 | Professional | FX · Film X-ray | $28.18 | $28.18 | $30.20 |
Where Maryland sits
The same service costs 4.1 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· 40th of 51
$37.15
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.