How much rates vary
Facilitymedian $537 · 10th to 90th $437 to $851Professionalmedian $468 · 10th to 90th $105 to $871
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 $436.52 Median $537.03 Typical High $851.14 | Facility | None | $436.52 | $537.03 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $398.11 | $426.58 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $302.00 | $562.34 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $467.74 Typical High $537.03 | Professional | None (both parts) | $104.71 | $467.74 | $537.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $93.33 | $117.49 | $117.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $363.08 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $1,318.26 | Professional | None (both parts) | $309.03 | $630.96 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $72.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $524.81 Typical High $1,096.48 | Professional | TC · Technical part | $239.88 | $524.81 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $707.95 | Professional | None | $363.08 | $416.87 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $97.72 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $281.84 | $323.59 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $537.03 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $39.81 | $87.10 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $1,023.29 | Professional | TC · Technical part | $263.03 | $436.52 | $1,023.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $363.08 | $363.08 | $575.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $281.84 | $446.68 |
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 $199.53 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $323.59 | $338.84 |
Where Maryland sits
The same service costs 5.6 times more in Wyoming 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· 40th of 51
$468
WY $1,380UT $245
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.