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 $177.83 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $177.83 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $29.51 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $165.96 | $169.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $34.67 | $190.55 | $223.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $29.51 | $31.62 | $36.31 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $158.49 | $190.55 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $28.84 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $389.05 | Professional | TC · Technical part | $131.83 | $151.36 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $398.11 | Professional | None | $208.93 | $251.19 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $40.74 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $213.80 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $645.65 | Professional | None (both parts) | $141.25 | $213.80 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $100.00 | Professional | 26 · Professional part | $25.12 | $35.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $549.54 | Professional | TC · Technical part | $117.49 | $181.97 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $186.21 | $186.21 | $346.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $30.20 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $154.88 | $154.88 | $295.12 |
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 $89.13 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $89.13 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $36.31 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | FX · Film X-ray | $141.25 | $141.25 | $154.88 |
Where Maryland sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$195
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.