How much rates vary
Professionalmedian $62 · 10th to 90th $41 to $91
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 $54.95 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $39.81 | $43.65 | $43.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $58.88 | $63.10 | $69.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $18.20 | Professional | 26 · Professional part | $16.22 | $17.78 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $43.65 | $45.71 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $46.77 | $54.95 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $14.45 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $40.74 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $97.72 | Professional | None | $61.66 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $19.05 | $26.30 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $53.70 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $125.89 | Professional | None (both parts) | $37.15 | $54.95 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $12.30 | $16.98 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $89.13 | Professional | TC · Technical part | $23.99 | $38.02 | $89.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $102.33 | Professional | None (both parts) | $40.74 | $40.74 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $26.30 | Professional | 26 · Professional part | $11.22 | $11.22 | $26.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $30.20 | $75.86 |
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 $27.54 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $43.65 | $47.86 | $47.86 |
Where Maryland sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 34th of 51
$61.66
AK $182UT $32.36
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.