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 $199.53 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $199.53 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $141.25 | $141.25 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $70.79 | $218.78 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $64.57 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $154.88 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $173.78 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $57.54 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $141.25 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $501.19 | Professional | None | $223.87 | $288.40 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $81.28 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $208.93 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $724.44 | Professional | None (both parts) | $204.17 | $323.59 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $204.17 | Professional | 26 · Professional part | $53.70 | $72.44 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $239.88 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $223.87 | $223.87 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $67.61 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $158.49 | $263.03 |
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 $100.00 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $41.69 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $158.49 | $158.49 | $173.78 |
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· 48th of 51
$224
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.