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 $616.60 Median $616.60 Typical High $676.08 | Professional | None (both parts) | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | TC · Technical part | $562.34 | $562.34 | $616.60 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $691.83 Typical High $776.25 | Professional | None (both parts) | $74.13 | $691.83 | $776.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $67.61 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $630.96 Typical High $691.83 | Professional | TC · Technical part | $616.60 | $630.96 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $537.03 | $616.60 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $66.07 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $562.34 Typical High $1,348.96 | Professional | TC · Technical part | $489.78 | $562.34 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,348.96 | Professional | None | $691.83 | $912.01 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $83.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $831.76 Typical High $1,230.27 | Professional | TC · Technical part | $616.60 | $831.76 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $707.95 Typical High $1,737.80 | Professional | None (both parts) | $263.03 | $707.95 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $630.96 Typical High $1,621.81 | Professional | TC · Technical part | $165.96 | $630.96 | $1,621.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $691.83 | $691.83 | $1,148.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $69.18 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $1,023.29 | Professional | TC · Technical part | $616.60 | $616.60 | $1,023.29 |
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 $309.03 Median $309.03 Typical High $338.84 | Professional | 52 · Reduced service | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 53 · Discontinued | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | FX · Film X-ray | $489.78 | $489.78 | $537.03 |
Where Maryland sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 45th of 51
$692
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.