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 $223.87 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $223.87 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.42 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $208.93 Typical High $223.87 | Professional | TC · Technical part | $204.17 | $208.93 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $22.39 | $251.19 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $22.39 | $25.12 | $29.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $213.80 | $251.19 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $630.96 | Professional | None (both parts) | $194.98 | $295.12 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $24.55 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $204.17 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $524.81 | Professional | None | $251.19 | $331.13 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $29.51 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $288.40 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $281.84 Typical High $812.83 | Professional | None (both parts) | $177.83 | $281.84 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $26.92 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $741.31 | Professional | TC · Technical part | $162.18 | $257.04 | $741.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $251.19 | $251.19 | $416.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $23.99 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $229.09 | $229.09 | $380.19 |
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 $112.20 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $112.20 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $44.67 | $46.77 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $194.98 | Professional | FX · Film X-ray | $177.83 | $177.83 | $194.98 |
Where Maryland sits
The same service costs 4.3 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
$251
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.