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 $173.78 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $138.04 | $138.04 | $151.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $177.83 | $194.98 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $43.65 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $154.88 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $154.88 | $194.98 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $36.31 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $346.74 | Professional | TC · Technical part | $120.23 | $138.04 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $380.19 | Professional | None | $190.55 | $234.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $50.12 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $181.97 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $144.54 | $213.80 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $128.82 | Professional | 26 · Professional part | $31.62 | $45.71 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $501.19 | Professional | TC · Technical part | $114.82 | $165.96 | $501.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $169.82 | $169.82 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $36.31 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $131.83 | $245.47 |
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 $87.10 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $138.04 | $151.36 |
Where Maryland sits
The same service costs 5.0 times more in Alaska than in Texas. 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
$195
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.