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 $141.25 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $141.25 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $13.80 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $128.82 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $15.14 Median $154.88 Typical High $173.78 | Professional | None (both parts) | $15.14 | $154.88 | $173.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $14.79 | $21.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $134.90 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $123.03 | $165.96 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $34.67 | Professional | 26 · Professional part | $12.30 | $15.85 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $371.54 | Professional | TC · Technical part | $112.20 | $128.82 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $323.59 | Professional | None | $158.49 | $199.53 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $32.36 | Professional | 26 · Professional part | $15.85 | $19.50 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $181.97 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $512.86 | Professional | None (both parts) | $112.20 | $173.78 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $13.18 | $17.78 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $467.74 | Professional | TC · Technical part | $100.00 | $158.49 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $158.49 | $158.49 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $16.22 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $144.54 | $234.42 |
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 $70.79 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.84 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $112.20 | $112.20 | $123.03 |
Where Maryland sits
The same service costs 4.5 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· 46th of 51
$158
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.