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 $204.17 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $204.17 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $177.83 | $177.83 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $213.80 | $229.09 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $30.90 | $33.88 | $33.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $199.53 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $177.83 | $223.87 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $27.54 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $177.83 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $457.09 | Professional | None | $218.78 | $275.42 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $37.15 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $234.42 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $162.18 | $245.47 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $97.72 | Professional | 26 · Professional part | $23.44 | $34.67 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $645.65 | Professional | TC · Technical part | $141.25 | $213.80 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $199.53 | $199.53 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $28.18 | $50.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $173.78 | $316.23 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | 53 · Discontinued | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | FX · Film X-ray | $165.96 | $165.96 | $177.83 |
Where Maryland sits
The same service costs 4.2 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
$229
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.