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 $257.04 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $257.04 | $281.84 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $33.11 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $245.47 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $275.42 | $281.84 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $34.67 | $38.90 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $234.42 | $245.47 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $660.69 | Professional | None (both parts) | $223.87 | $295.12 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $33.11 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $223.87 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $588.84 | Professional | None | $275.42 | $354.81 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $43.65 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $239.88 | $309.03 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $933.25 | Professional | None (both parts) | $208.93 | $323.59 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $112.20 | Professional | 26 · Professional part | $28.84 | $38.90 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $177.83 | $281.84 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $269.15 | $269.15 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $34.67 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $234.42 | $234.42 | $398.11 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $52.48 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $204.17 | $223.87 |
Where Maryland sits
The same service costs 3.7 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
$282
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.