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 $218.78 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $204.17 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $295.12 | $331.13 | $416.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $38.02 | $42.66 | $51.29 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $331.13 | Professional | TC · Technical part | $257.04 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $77.62 | $87.10 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $46.77 | $53.70 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $177.83 | Professional | None | $104.71 | $120.23 | $177.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $46.77 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $61.66 | $72.44 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $81.28 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $35.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $48.98 | $199.53 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $354.81 | Professional | None (both parts) | $85.11 | $85.11 | $354.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $30.90 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $331.13 | Professional | TC · Technical part | $54.95 | $54.95 | $331.13 |
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 $109.65 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $173.78 | $190.55 |
Where Maryland sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 18th of 51
$240
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.