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 $208.93 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $31.62 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $177.83 | $177.83 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $218.78 | $229.09 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $38.02 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $213.80 Typical High $218.78 | Professional | TC · Technical part | $194.98 | $213.80 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $181.97 | $223.87 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $30.90 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $173.78 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $467.74 | Professional | None | $223.87 | $275.42 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $42.66 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $234.42 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $758.58 | Professional | None (both parts) | $165.96 | $257.04 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $109.65 | Professional | 26 · Professional part | $26.92 | $39.81 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $645.65 | Professional | TC · Technical part | $141.25 | $213.80 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $204.17 | $204.17 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $31.62 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $169.82 | $316.23 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $165.96 | $181.97 |
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
$229
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.