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 $190.55 Median $190.55 Typical High $218.78 | Facility | None | $190.55 | $190.55 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $154.88 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $48.98 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $117.49 | $218.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $52.48 | $165.96 | $199.53 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $50.12 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $125.89 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $371.54 | Professional | None (both parts) | $141.25 | $173.78 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $46.77 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $112.20 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $371.54 | Professional | None | $173.78 | $213.80 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $64.57 | $100.00 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $144.54 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $562.34 | Professional | None (both parts) | $144.54 | $199.53 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $169.82 | Professional | 26 · Professional part | $40.74 | $60.26 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $398.11 | Professional | TC · Technical part | $97.72 | $147.91 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $162.18 | $162.18 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $50.12 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $112.20 | $199.53 |
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 $77.62 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $77.62 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | FX · Film X-ray | $123.03 | $123.03 | $131.83 |
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· 48th of 51
$178
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.