How much rates vary
Professionalmedian $105 · 10th to 90th $15 to $302
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 $229.09 | Professional | None (both parts) | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $229.09 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $13.80 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $13.80 | $257.04 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $12.88 | $14.13 | $19.05 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $257.04 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $39.81 | $44.67 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $26.92 | Professional | 26 · Professional part | $11.22 | $12.30 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $32.36 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $109.65 | Professional | None | $51.29 | $61.66 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $16.98 | $21.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $44.67 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $41.69 | $218.78 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $14.45 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $208.93 Typical High $537.03 | Professional | TC · Technical part | $30.90 | $208.93 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $426.58 | Professional | None (both parts) | $44.67 | $44.67 | $426.58 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $10.96 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $416.87 | Professional | TC · Technical part | $33.88 | $33.88 | $416.87 |
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 $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $165.96 | $186.21 | $186.21 |
Where Maryland sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 35th of 51
$105
CO $316MI $47.86
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.