How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $588.84 | Facility | None | $295.12 | $380.19 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $295.12 | $316.23 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $48.98 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $269.15 | $501.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $52.48 | $302.00 | $363.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $57.54 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $251.19 | $269.15 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $257.04 | $309.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $46.77 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $630.96 | Professional | TC · Technical part | $213.80 | $245.47 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $660.69 | Professional | None | $316.23 | $380.19 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $63.10 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $316.23 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $234.42 | $354.81 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $165.96 | Professional | 26 · Professional part | $40.74 | $58.88 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $891.25 | Professional | TC · Technical part | $194.98 | $302.00 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $295.12 | $295.12 | $524.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $48.98 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $245.47 | $436.52 |
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 $147.91 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 53 · Discontinued | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | FX · Film X-ray | $234.42 | $234.42 | $257.04 |
Where Maryland sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$316
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.