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 $275.42 Median $354.81 Typical High $549.54 | Facility | None | $275.42 | $354.81 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $275.42 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $33.11 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $269.15 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $34.67 | $302.00 | $338.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $38.90 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $269.15 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $269.15 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $239.88 | $275.42 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $31.62 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $208.93 | $239.88 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $630.96 | Professional | None | $295.12 | $354.81 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $42.66 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $309.03 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $1,000.00 | Professional | None (both parts) | $194.98 | $331.13 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $112.20 | Professional | 26 · Professional part | $26.92 | $39.81 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $891.25 | Professional | TC · Technical part | $165.96 | $295.12 | $891.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $281.84 | $281.84 | $489.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $33.88 | $56.23 |
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 $138.04 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $218.78 | $218.78 | $239.88 |
Where Maryland sits
The same service costs 3.5 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· 45th of 51
$302
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.