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 $144.54 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $144.54 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $18.62 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $138.04 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $21.88 | $162.18 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $19.95 | $19.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $141.25 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $363.08 | Professional | None (both parts) | $125.89 | $158.49 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $17.78 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $316.23 | Professional | TC · Technical part | $109.65 | $125.89 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $323.59 | Professional | None | $154.88 | $194.98 | $323.59 |
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 $134.90 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $134.90 | $169.82 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $524.81 | Professional | None (both parts) | $114.82 | $177.83 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $22.39 Typical High $61.66 | Professional | 26 · Professional part | $15.14 | $22.39 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $457.09 | Professional | TC · Technical part | $100.00 | $154.88 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $141.25 | $141.25 | $257.04 |
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 $123.03 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $123.03 | $229.09 |
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 $70.79 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $28.84 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | FX · Film X-ray | $114.82 | $114.82 | $125.89 |
Where Maryland sits
The same service costs 4.4 times more in Alaska 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· 46th of 51
$162
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.