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 $107.15 Typical High $109.65 | Professional | None (both parts) | $102.33 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $48.98 | $53.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $56.23 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $56.23 | $117.49 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $67.61 | $77.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $61.66 | $63.10 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $91.20 | $102.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $50.12 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $190.55 | Professional | None | $120.23 | $134.90 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $63.10 | $69.18 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $64.57 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $95.50 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $57.54 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $60.26 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $83.18 | $89.13 |
Where Maryland sits
The same service costs 4.5 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· 46th of 51
$117
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.