How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $478.63 | Facility | None | $239.88 | $323.59 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $239.88 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $33.88 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $208.93 | $229.09 | $446.68 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $36.31 | $275.42 | $309.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $40.74 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $223.87 | $239.88 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $208.93 | $245.47 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $32.36 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $177.83 | $213.80 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $524.81 | Professional | None | $245.47 | $331.13 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $44.67 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $288.40 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $151.36 | $275.42 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $40.74 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $123.03 | $239.88 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $218.78 | $218.78 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $30.20 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $190.55 | $398.11 |
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 $120.23 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | FX · Film X-ray | $190.55 | $190.55 | $208.93 |
Where Maryland sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 36th of 51
$275
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.