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 $208.93 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $208.93 | $229.09 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $26.92 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $204.17 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $28.84 | $234.42 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | 26 · Professional part | $27.54 | $32.36 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $204.17 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $186.21 | $208.93 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $26.30 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $478.63 | Professional | TC · Technical part | $158.49 | $181.97 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $478.63 | Professional | None | $223.87 | $281.84 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $37.15 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $245.47 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $758.58 | Professional | None (both parts) | $147.91 | $257.04 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $93.33 | Professional | 26 · Professional part | $22.39 | $33.11 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $676.08 | Professional | TC · Technical part | $123.03 | $229.09 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $158.49 | $158.49 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $20.89 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $138.04 | $346.74 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $165.96 | $181.97 |
Where Maryland sits
The same service costs 5.2 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· 42nd of 51
$234
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.