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 $186.21 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $186.21 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $36.31 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $147.91 | $147.91 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $169.82 | $208.93 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $40.74 | $45.71 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $190.55 | Professional | TC · Technical part | $165.96 | $186.21 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $165.96 | $223.87 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $36.31 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $151.36 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $407.38 | Professional | None | $204.17 | $269.15 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $51.29 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $177.83 | $251.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $128.82 | Professional | 26 · Professional part | $32.36 | $45.71 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $144.54 | $204.17 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $208.93 | $208.93 | $338.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $42.66 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $165.96 | $275.42 |
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 $93.33 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $37.15 | $38.02 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | FX · Film X-ray | $147.91 | $147.91 | $162.18 |
Where Maryland sits
The same service costs 4.6 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· 49th of 51
$209
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.