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 $154.88 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $154.88 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $31.62 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $138.04 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.88 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $33.88 | $173.78 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $38.02 | $39.81 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $138.04 | $158.49 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $30.20 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $316.23 | Professional | TC · Technical part | $109.65 | $125.89 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $346.74 | Professional | None | $173.78 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $41.69 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $169.82 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $575.44 | Professional | None (both parts) | $125.89 | $186.21 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $38.90 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $457.09 | Professional | TC · Technical part | $100.00 | $147.91 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $147.91 | $147.91 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $30.20 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $120.23 | $234.42 |
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 $77.62 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $32.36 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | FX · Film X-ray | $125.89 | $125.89 | $134.90 |
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· 47th of 51
$170
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.