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 $1,621.81 Median $2,238.72 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,238.72 | $3,235.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,778.28 Typical High $3,715.35 | Professional | None (both parts) | $1,621.81 | $1,778.28 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $380.19 Typical High $741.31 | Professional | 26 · Professional part | $363.08 | $380.19 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,412.54 Typical High $2,951.21 | Professional | TC · Technical part | $1,258.93 | $1,412.54 | $2,951.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,089.30 Typical High $2,398.83 | Professional | None (both parts) | $1,778.28 | $2,089.30 | $2,398.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $407.38 | $457.09 | $457.09 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,659.59 Typical High $1,778.28 | Professional | TC · Technical part | $1,479.11 | $1,659.59 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,862.09 Typical High $3,890.45 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $371.54 Typical High $812.83 | Professional | 26 · Professional part | $331.13 | $371.54 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,445.44 Typical High $3,090.30 | Professional | TC · Technical part | $1,148.15 | $1,445.44 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,454.71 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $512.86 Typical High $831.76 | Professional | 26 · Professional part | $416.87 | $512.86 | $831.76 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,995.26 Typical High $3,235.94 | Professional | TC · Technical part | $1,659.59 | $1,995.26 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,041.74 Typical High $4,466.84 | Professional | None (both parts) | $1,318.26 | $2,041.74 | $4,466.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $977.24 | Professional | 26 · Professional part | $295.12 | $457.09 | $977.24 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,659.59 Typical High $3,548.13 | Professional | TC · Technical part | $1,000.00 | $1,659.59 | $3,548.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $3,311.31 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $3,311.31 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $660.69 | Professional | 26 · Professional part | $346.74 | $346.74 | $660.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $2,630.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $2,630.27 |
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 $812.83 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | FX · Film X-ray | $1,318.26 | $1,318.26 | $1,412.54 |
Where Maryland sits
The same service costs 4.4 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· 41st of 51
$1,995
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.