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 $426.58 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $426.58 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $64.57 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $346.74 | $407.38 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $77.62 | $489.78 | $616.60 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $64.57 | $69.18 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $467.74 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $389.05 | $501.19 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $69.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $436.52 Typical High $851.14 | Professional | TC · Technical part | $363.08 | $436.52 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $912.01 | Professional | None | $478.63 | $676.08 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $85.11 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $389.05 | $588.84 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $1,096.48 | Professional | None (both parts) | $263.03 | $478.63 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $56.23 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $398.11 Typical High $933.25 | Professional | TC · Technical part | $165.96 | $398.11 | $933.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $933.25 | Professional | None (both parts) | $331.13 | $331.13 | $933.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $42.66 | $112.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $812.83 | Professional | TC · Technical part | $288.40 | $288.40 | $812.83 |
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 $234.42 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $380.19 | $380.19 | $416.87 |
Where Maryland sits
The same service costs 6.3 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· 38th 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.