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 $147.91 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $147.91 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $12.02 | $12.59 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $147.91 | $151.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $85.11 | $165.96 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $13.18 | $14.45 | $14.45 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $162.18 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $128.82 | $151.36 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $28.18 | Professional | 26 · Professional part | $10.72 | $11.75 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $134.90 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $331.13 | Professional | None | $158.49 | $194.98 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.22 | $25.12 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $177.83 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $537.03 | Professional | None (both parts) | $102.33 | $173.78 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $41.69 | Professional | 26 · Professional part | $10.47 | $15.14 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $162.18 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $144.54 | $144.54 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $134.90 | $245.47 |
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 $74.13 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $117.49 | $117.49 | $128.82 |
Where Maryland sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 45th of 51
$166
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.