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 $1,000.00 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $870.96 | $870.96 | $1,659.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,659.59 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,659.59 | $1,819.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $79.43 | $87.10 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,548.82 Typical High $1,737.80 | Professional | TC · Technical part | $1,479.11 | $1,548.82 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,659.59 Typical High $1,905.46 | Professional | None (both parts) | $588.84 | $1,659.59 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $79.43 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $758.58 Typical High $1,905.46 | Professional | TC · Technical part | $354.81 | $758.58 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,230.27 | Professional | None | $524.81 | $691.83 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $100.00 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $1,071.52 | Professional | TC · Technical part | $446.68 | $588.84 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,548.82 Typical High $5,248.07 | Professional | None (both parts) | $933.25 | $1,548.82 | $5,248.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $281.84 | Professional | 26 · Professional part | $60.26 | $100.00 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,412.54 Typical High $5,011.87 | Professional | TC · Technical part | $831.76 | $1,412.54 | $5,011.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,511.89 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,511.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $60.26 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $2,511.89 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $2,511.89 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Maryland sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 21st of 51
$1,622
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.