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 $104.71 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $104.71 | $131.83 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $35.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $38.90 | $97.72 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $42.66 | $112.20 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $36.31 | $38.90 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $95.50 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $64.57 | $120.23 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $37.15 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $18.62 | $87.10 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $229.09 | Professional | None | $125.89 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $47.86 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $123.03 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $69.18 | $123.03 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $25.70 | $81.28 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $229.09 | Professional | None (both parts) | $77.62 | $77.62 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $21.88 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $54.95 | $169.82 |
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 $61.66 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $97.72 | $104.71 |
Where Maryland sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 39th of 51
$123
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.