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 $66.07 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $66.07 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $35.48 | $43.65 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $89.13 | Professional | None (both parts) | $50.12 | $79.43 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $30.20 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $56.23 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $218.78 | Professional | None (both parts) | $54.95 | $70.79 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $83.18 | Professional | 26 · Professional part | $21.88 | $26.92 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $134.90 | Professional | TC · Technical part | $32.36 | $44.67 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $144.54 | Professional | None | $89.13 | $102.33 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $38.90 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $64.57 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $74.13 Typical High $194.98 | Professional | None (both parts) | $40.74 | $74.13 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $29.51 Typical High $75.86 | Professional | 26 · Professional part | $15.49 | $29.51 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $42.66 Typical High $114.82 | Professional | TC · Technical part | $21.88 | $42.66 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $56.23 | $56.23 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $21.88 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $34.67 | $85.11 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $60.26 Typical High $61.66 | Professional | FX · Film X-ray | $56.23 | $60.26 | $61.66 |
Where Maryland sits
The same service costs 5.9 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· 30th of 51
$79.43
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.