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 $537.03 Median $537.03 Typical High $676.08 | Facility | None | $537.03 | $537.03 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $537.03 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $40.74 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $501.19 | $549.54 | $549.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $588.84 Typical High $660.69 | Professional | None (both parts) | $43.65 | $588.84 | $660.69 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $48.98 | $48.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $407.38 | $524.81 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $1,380.38 | Professional | None (both parts) | $457.09 | $524.81 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $41.69 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $489.78 Typical High $1,288.25 | Professional | TC · Technical part | $426.58 | $489.78 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,258.93 | Professional | None | $575.44 | $691.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $54.95 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $524.81 | $630.96 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $660.69 Typical High $1,949.84 | Professional | None (both parts) | $426.58 | $660.69 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $141.25 | Professional | 26 · Professional part | $36.31 | $50.12 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $616.60 Typical High $1,819.70 | Professional | TC · Technical part | $398.11 | $616.60 | $1,819.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $467.74 | $467.74 | $954.99 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $37.15 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $436.52 | $436.52 | $891.25 |
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 $269.15 Median $269.15 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 53 · Discontinued | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | FX · Film X-ray | $426.58 | $426.58 | $467.74 |
Where Maryland sits
The same service costs 4.4 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· 45th of 51
$589
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.