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 $36.31 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $36.31 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $20.42 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.62 Typical High $19.50 | Professional | TC · Technical part | $16.60 | $18.62 | $19.50 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.95 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $19.95 | $40.74 | $45.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $20.89 | $23.44 | $25.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $19.50 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $114.82 | Professional | None (both parts) | $33.11 | $41.69 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $47.86 | Professional | 26 · Professional part | $17.38 | $19.50 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $52.48 | Professional | TC · Technical part | $15.49 | $17.78 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $95.50 | Professional | None | $42.66 | $54.95 | $95.50 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $27.54 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $26.30 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $74.13 Typical High $239.88 | Professional | None (both parts) | $35.48 | $74.13 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $70.79 | Professional | 26 · Professional part | $17.78 | $25.12 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $37.15 Typical High $204.17 | Professional | TC · Technical part | $16.60 | $37.15 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $42.66 | $42.66 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $22.39 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $19.95 | $19.95 | $33.11 |
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 $18.20 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | FX · Film X-ray | $29.51 | $29.51 | $30.90 |
Where Maryland sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$40.74
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.