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 $81.28 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $81.28 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $58.88 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $26.92 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $91.20 Typical High $104.71 | Professional | None (both parts) | $32.36 | $91.20 | $104.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $64.57 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $27.54 | $28.84 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $288.40 | Professional | None (both parts) | $74.13 | $97.72 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $177.83 | Professional | 26 · Professional part | $52.48 | $63.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $91.20 | Professional | TC · Technical part | $22.39 | $26.92 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $186.21 | Professional | None | $102.33 | $120.23 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $81.28 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $38.02 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $288.40 | Professional | None (both parts) | $81.28 | $123.03 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $177.83 | Professional | 26 · Professional part | $52.48 | $69.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $125.89 | Professional | TC · Technical part | $22.39 | $39.81 | $125.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $89.13 | $89.13 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $61.66 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $26.92 | $48.98 |
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 $40.74 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $40.74 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $17.38 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $64.57 | $69.18 | $69.18 |
Where Maryland sits
The same service costs 5.2 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
$93.33
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.