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 $60.26 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 26 · Professional part | $6.03 | $6.31 | $6.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $54.95 | $58.88 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $61.66 | $67.61 | $75.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.08 | $7.76 | $7.76 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $57.54 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $53.70 | $70.79 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.31 Typical High $15.14 | Professional | 26 · Professional part | $5.75 | $6.31 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $54.95 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $144.54 | Professional | None | $74.13 | $89.13 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $9.33 | $15.85 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $81.28 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $77.62 Typical High $223.87 | Professional | None (both parts) | $54.95 | $77.62 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.00 Typical High $22.39 | Professional | 26 · Professional part | $6.03 | $10.00 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $204.17 | Professional | TC · Technical part | $45.71 | $70.79 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $58.88 | $58.88 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $53.70 | $112.20 |
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 $30.20 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $12.02 | $12.59 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | FX · Film X-ray | $48.98 | $48.98 | $53.70 |
Where Maryland sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$67.61
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.