How much rates vary
Facilitymedian $49 · 10th to 90th $49 to $55Professionalmedian $46 · 10th to 90th $36 to $72
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 $48.98 Median $48.98 Typical High $54.95 | Facility | None | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $39.81 | $42.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $12.02 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $30.90 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $50.12 | Professional | None (both parts) | $37.15 | $45.71 | $50.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.18 Typical High $14.13 | Professional | 26 · Professional part | $12.88 | $13.18 | $14.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $33.88 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $85.11 | Professional | None (both parts) | $35.48 | $40.74 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $27.54 | Professional | 26 · Professional part | $10.23 | $12.02 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $28.84 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $72.44 | Professional | None | $46.77 | $53.70 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $15.49 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $38.02 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $102.33 | Professional | None (both parts) | $36.31 | $45.71 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $33.11 | Professional | 26 · Professional part | $11.48 | $14.79 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $69.18 | Professional | TC · Technical part | $23.99 | $30.90 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $38.90 | $38.90 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $11.22 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $27.54 | $52.48 |
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 $19.95 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $34.67 | $34.67 |
Where Maryland sits
The same service costs 4.0 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· 44th of 51
$45.71
AK $132UT $33.11
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.