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 $100.00 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $100.00 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $14.79 | $15.49 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $85.11 | $87.10 | $93.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $93.33 | $100.00 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $15.85 | $17.78 | $17.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $83.18 | $87.10 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $234.42 | Professional | None (both parts) | $77.62 | $100.00 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $35.48 | Professional | 26 · Professional part | $12.88 | $14.45 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $199.53 | Professional | TC · Technical part | $66.07 | $75.86 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $208.93 | Professional | None | $102.33 | $123.03 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $20.42 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $102.33 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $316.23 | Professional | None (both parts) | $79.43 | $112.20 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $51.29 | Professional | 26 · Professional part | $12.59 | $18.20 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $269.15 | Professional | TC · Technical part | $67.61 | $93.33 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $87.10 | $87.10 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $14.45 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $74.13 | $141.25 |
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 $50.12 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | FX · Film X-ray | $81.28 | $81.28 | $87.10 |
Where Maryland sits
The same service costs 5.5 times more in Alabama 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· 45th of 51
$107
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.