How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $194.98 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $38.90 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $173.78 | $239.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $194.98 | $218.78 | $239.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $41.69 | $46.77 | $46.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $165.96 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $169.82 | $223.87 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $37.15 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $158.49 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $426.58 | Professional | None | $213.80 | $263.03 | $426.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $51.29 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $213.80 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $707.95 | Professional | None (both parts) | $165.96 | $239.88 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $131.83 | Professional | 26 · Professional part | $33.11 | $47.86 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $134.90 | $190.55 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $190.55 | $190.55 | $354.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $38.90 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $154.88 | $281.84 |
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 $97.72 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $38.90 | $39.81 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | FX · Film X-ray | $154.88 | $154.88 | $169.82 |
Where Maryland sits
The same service costs 3.8 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· 47th of 51
$219
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.