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 $151.36 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $17.38 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | TC · Technical part | $134.90 | $134.90 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $151.36 | $169.82 | $190.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $19.50 | $21.38 | $21.38 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $134.90 | $158.49 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.38 Typical High $42.66 | Professional | 26 · Professional part | $15.85 | $17.38 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $134.90 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $346.74 | Professional | None | $169.82 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $23.99 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $181.97 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $549.54 | Professional | None (both parts) | $120.23 | $186.21 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $61.66 | Professional | 26 · Professional part | $15.49 | $22.39 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $489.78 | Professional | TC · Technical part | $107.15 | $162.18 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $154.88 | $154.88 | $281.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | 26 · Professional part | $18.20 | $18.20 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $134.90 | $251.19 |
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 $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $131.83 |
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· 47th of 51
$170
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.