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 $114.82 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $60.26 | $128.82 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $74.13 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $102.33 | $131.83 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $72.44 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $114.82 | Professional | TC · Technical part | $42.66 | $48.98 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $234.42 | Professional | None | $138.04 | $165.96 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $95.50 | $131.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $72.44 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $117.49 | $169.82 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $95.50 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $77.62 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $131.83 | $131.83 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $77.62 | $120.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $54.95 | $91.20 |
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 $56.23 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $91.20 | $91.20 | $95.50 |
Where Maryland sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 46th of 51
$132
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.