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 $147.91 Median $154.88 Typical High $158.49 | Professional | None (both parts) | $147.91 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | TC · Technical part | $109.65 | $109.65 | $120.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $120.23 | $162.18 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $42.66 | $47.86 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $114.82 | $134.90 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $371.54 | Professional | None (both parts) | $128.82 | $169.82 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $38.02 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $107.15 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $371.54 | Professional | None | $165.96 | $213.80 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $53.70 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $158.49 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $151.36 | $218.78 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $35.48 | $48.98 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $112.20 | $173.78 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $165.96 | $165.96 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $44.67 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $123.03 | $199.53 |
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 $74.13 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $30.90 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $117.49 | $117.49 | $128.82 |
Where Maryland sits
The same service costs 4.8 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
$166
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.