How much rates vary
Facilitymedian $537 · 10th to 90th $234 to $851Professionalmedian $257 · 10th to 90th $107 to $501
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 $234.42 Median $537.03 Typical High $851.14 | Facility | None | $234.42 | $537.03 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $323.59 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $87.10 | $186.21 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $95.50 | $104.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $741.31 | Professional | TC · Technical part | $158.49 | $194.98 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $169.82 | $363.08 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $60.26 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $112.20 | $239.88 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $436.52 | Professional | None | $204.17 | $234.42 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $81.28 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $151.36 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $676.08 | Professional | None (both parts) | $190.55 | $309.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $70.79 Typical High $169.82 | Professional | 26 · Professional part | $33.11 | $70.79 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $489.78 | Professional | TC · Technical part | $125.89 | $213.80 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $199.53 | $199.53 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $70.79 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $128.82 | $208.93 |
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 24.0 times more in Vermont 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
$257
VT $2,951UT $123
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.