How much rates vary
Professionalmedian $501 · 10th to 90th $372 to $741
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 $398.11 Median $426.58 Typical High $478.63 | Professional | None (both parts) | $398.11 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $467.74 | $501.19 | $562.34 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $95.50 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $398.11 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $338.84 | $616.60 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $69.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $501.19 Typical High $933.25 | Professional | TC · Technical part | $269.15 | $501.19 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $616.60 | Professional | None | $398.11 | $457.09 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $93.33 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $363.08 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $288.40 | $512.86 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $38.02 | $83.18 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $257.04 | $426.58 | $851.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $371.54 | $371.54 | $630.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $77.62 | $125.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $295.12 | $295.12 | $501.19 |
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 $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $81.28 | $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 5.5 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· 37th of 51
$501
WY $1,514UT $275
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.