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 $575.44 Median $575.44 Typical High $630.96 | Professional | None (both parts) | $575.44 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 26 · Professional part | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | TC · Technical part | $501.19 | $501.19 | $549.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $79.43 | $645.65 | $724.44 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $75.86 | $89.13 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $575.44 Typical High $630.96 | Professional | TC · Technical part | $549.54 | $575.44 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $478.63 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $77.62 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $1,000.00 | Professional | TC · Technical part | $416.87 | $512.86 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,174.90 | Professional | None | $575.44 | $912.01 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $104.71 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $489.78 | $794.33 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $263.03 | $616.60 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $58.88 | $91.20 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $537.03 Typical High $1,258.93 | Professional | TC · Technical part | $165.96 | $537.03 | $1,258.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $1,230.27 | Professional | None (both parts) | $371.54 | $371.54 | $1,230.27 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $48.98 | $138.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $1,096.48 | Professional | TC · Technical part | $323.59 | $323.59 | $1,096.48 |
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 $288.40 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 53 · Discontinued | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | FX · Film X-ray | $457.09 | $457.09 | $501.19 |
Where Maryland sits
The same service costs 6.0 times more in Alaska than in Indiana. 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
$631
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.