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 $69.18 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $69.18 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $22.39 | $22.91 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $51.29 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $89.13 | Professional | None (both parts) | $75.86 | $79.43 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $24.55 | $26.92 | $27.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $54.95 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $63.10 | $81.28 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $22.39 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $48.98 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | None | $79.43 | $97.72 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $30.90 | $50.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $67.61 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $251.19 | Professional | None (both parts) | $60.26 | $85.11 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $77.62 | Professional | 26 · Professional part | $19.95 | $28.18 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $173.78 | Professional | TC · Technical part | $40.74 | $57.54 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $69.18 | $69.18 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $21.88 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $46.77 | $91.20 |
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 $34.67 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $34.67 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $14.79 | Professional | 53 · Discontinued | $13.80 | $14.45 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | FX · Film X-ray | $54.95 | $54.95 | $60.26 |
Where Maryland sits
The same service costs 4.6 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· 47th of 51
$79.43
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.