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 $77.62 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $77.62 | $112.20 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $23.99 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $89.13 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $85.11 | $117.49 | $128.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $28.18 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $100.00 | Professional | TC · Technical part | $85.11 | $91.20 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $316.23 | Professional | None (both parts) | $87.10 | $102.33 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $25.70 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $245.47 | Professional | TC · Technical part | $63.10 | $81.28 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $213.80 | Professional | None | $134.90 | $154.88 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $32.36 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $120.23 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $251.19 | Professional | None (both parts) | $64.57 | $104.71 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $20.42 | $28.84 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $79.43 Typical High $190.55 | Professional | TC · Technical part | $41.69 | $79.43 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $204.17 | Professional | None (both parts) | $74.13 | $74.13 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $16.60 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $57.54 | $162.18 |
1 more rate 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 FX · Film X-ray Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $83.18 | $85.11 | $91.20 |
Where Maryland sits
The same service costs 4.5 times more in Alaska than in New York. 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· 29th 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.