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 $162.18 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $162.18 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $131.83 | $131.83 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $151.36 | $186.21 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $37.15 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $147.91 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $144.54 | $186.21 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $31.62 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $134.90 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $371.54 | Professional | None | $186.21 | $234.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $43.65 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $194.98 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $602.56 | Professional | None (both parts) | $141.25 | $208.93 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $112.20 | Professional | 26 · Professional part | $28.84 | $39.81 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $489.78 | Professional | TC · Technical part | $114.82 | $173.78 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $173.78 | $173.78 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $33.88 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $138.04 | $251.19 |
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 $81.28 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $33.11 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $128.82 | $128.82 | $141.25 |
Where Maryland sits
The same service costs 4.7 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· 47th of 51
$186
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.