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 $416.87 Median $575.44 Typical High $831.76 | Facility | None | $416.87 | $575.44 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $416.87 | $457.09 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $407.38 | Professional | 26 · Professional part | $194.98 | $204.17 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $251.19 | $524.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $245.47 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $245.47 | $489.78 | $549.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | 26 · Professional part | $218.78 | $218.78 | $309.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $1,000.00 | Professional | TC · Technical part | $251.19 | $302.00 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $389.05 | $501.19 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $199.53 Typical High $436.52 | Professional | 26 · Professional part | $177.83 | $199.53 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $575.44 | Professional | TC · Technical part | $208.93 | $245.47 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $870.96 | Professional | None | $512.86 | $616.60 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $269.15 Typical High $380.19 | Professional | 26 · Professional part | $234.42 | $269.15 | $380.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $489.78 | Professional | TC · Technical part | $281.84 | $354.81 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $1,737.80 | Professional | None (both parts) | $426.58 | $707.95 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $251.19 Typical High $524.81 | Professional | 26 · Professional part | $162.18 | $251.19 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $1,445.44 | Professional | TC · Technical part | $229.09 | $389.05 | $1,445.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $478.63 | $478.63 | $794.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $354.81 | Professional | 26 · Professional part | $223.87 | $223.87 | $354.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $263.03 | $263.03 | $446.68 |
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 $208.93 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | FX · Film X-ray | $338.84 | $338.84 | $363.08 |
Where Maryland sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 47th of 51
$490
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.