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 $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $288.40 | $316.23 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $40.74 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $275.42 | $512.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $288.40 | $323.59 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $48.98 | $48.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $309.03 | Professional | TC · Technical part | $263.03 | $275.42 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $741.31 | Professional | None (both parts) | $251.19 | $302.00 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $38.90 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $245.47 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $660.69 | Professional | None | $309.03 | $380.19 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $53.70 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $316.23 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $229.09 | $346.74 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $141.25 | Professional | 26 · Professional part | $34.67 | $50.12 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $912.01 | Professional | TC · Technical part | $199.53 | $302.00 | $912.01 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $288.40 | $288.40 | $512.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $40.74 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $245.47 | $446.68 |
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 $144.54 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | 53 · Discontinued | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | FX · Film X-ray | $229.09 | $229.09 | $251.19 |
Where Maryland sits
The same service costs 3.8 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· 44th of 51
$324
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.