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 $91.20 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $91.20 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $17.78 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $74.13 | $74.13 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.50 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $19.50 | $107.15 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $21.88 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $83.18 | $128.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $20.42 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $77.62 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $218.78 | Professional | None | $107.15 | $138.04 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $25.12 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $112.20 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $338.84 | Professional | None (both parts) | $91.20 | $131.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $22.91 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $275.42 | Professional | TC · Technical part | $74.13 | $109.65 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $107.15 | $107.15 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $20.89 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $87.10 | $144.54 |
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 $45.71 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $18.62 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | FX · Film X-ray | $74.13 | $74.13 | $79.43 |
Where Maryland sits
The same service costs 5.1 times more in Alabama 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· 48th of 51
$107
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.