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 $229.09 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $33.11 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $194.98 | $194.98 | $213.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $204.17 | $251.19 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $40.74 | Professional | 26 · Professional part | $37.15 | $39.81 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $218.78 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $199.53 | $229.09 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $33.11 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $501.19 | Professional | TC · Technical part | $169.82 | $194.98 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $524.81 | Professional | None | $245.47 | $295.12 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $45.71 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $251.19 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $181.97 | $275.42 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $117.49 | Professional | 26 · Professional part | $28.84 | $42.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $239.88 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $190.55 | $190.55 | $407.38 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $29.51 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $162.18 | $162.18 | $346.74 |
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 $114.82 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | FX · Film X-ray | $181.97 | $181.97 | $199.53 |
Where Maryland sits
The same service costs 5.0 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
$251
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.