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 $190.55 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $190.55 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $141.25 | $158.49 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $52.48 | $177.83 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $57.54 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $173.78 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $165.96 | $218.78 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $46.77 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $144.54 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $478.63 | Professional | None | $213.80 | $281.84 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $64.57 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $213.80 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $194.98 | $288.40 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $165.96 | Professional | 26 · Professional part | $41.69 | $58.88 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $147.91 | $223.87 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $218.78 | $218.78 | $354.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $54.95 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $162.18 | $269.15 |
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 $95.50 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $38.90 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | FX · Film X-ray | $151.36 | $151.36 | $165.96 |
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· 48th of 51
$214
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.