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 $281.84 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 26 · Professional part | $25.12 | $25.12 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $257.04 | $257.04 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $27.54 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $27.54 | $309.03 | $346.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $30.20 | $30.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $281.84 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $707.95 | Professional | None (both parts) | $245.47 | $295.12 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $60.26 | Professional | 26 · Professional part | $22.39 | $24.55 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $257.04 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $630.96 | Professional | None | $295.12 | $363.08 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $33.88 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $588.84 | Professional | TC · Technical part | $269.15 | $331.13 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $1,023.29 | Professional | None (both parts) | $173.78 | $338.84 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $87.10 | Professional | 26 · Professional part | $21.38 | $31.62 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $309.03 Typical High $933.25 | Professional | TC · Technical part | $131.83 | $309.03 | $933.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $281.84 | $281.84 | $501.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $26.30 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $257.04 | $457.09 |
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 $141.25 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | FX · Film X-ray | $223.87 | $223.87 | $245.47 |
Where Maryland sits
The same service costs 4.9 times more in Alaska 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· 44th of 51
$309
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.