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 $173.78 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $154.88 | $154.88 | $169.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $177.83 | $199.53 | $223.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $165.96 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $158.49 | $177.83 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $20.42 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $158.49 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $398.11 | Professional | None | $194.98 | $234.42 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $27.54 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $173.78 | $208.93 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $138.04 | $204.17 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $70.79 | Professional | 26 · Professional part | $16.60 | $24.55 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $575.44 | Professional | TC · Technical part | $123.03 | $181.97 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $165.96 | $165.96 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $19.50 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $147.91 | $288.40 |
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 $87.10 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $138.04 | $151.36 |
Where Maryland sits
The same service costs 4.6 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· 43rd of 51
$200
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.