How much rates vary
Facilitymedian $537 · 10th to 90th $407 to $851Professionalmedian $447 · 10th to 90th $355 to $912
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 $407.38 Median $537.03 Typical High $851.14 | Facility | None | $407.38 | $537.03 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $398.11 | $426.58 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $125.89 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $302.00 | $549.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $446.68 | $501.19 | $616.60 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $128.82 | $128.82 | $144.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | TC · Technical part | $323.59 | $354.81 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $616.60 Typical High $1,288.25 | Professional | None (both parts) | $302.00 | $616.60 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $89.13 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $218.78 | $426.58 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $707.95 | Professional | None | $354.81 | $407.38 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $251.19 | $288.40 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $537.03 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $102.33 Typical High $251.19 | Professional | 26 · Professional part | $50.12 | $102.33 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $933.25 | Professional | TC · Technical part | $251.19 | $407.38 | $933.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $354.81 | $354.81 | $562.34 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $104.71 | $158.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $251.19 | $251.19 | $398.11 |
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 5.8 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· 42nd of 51
$447
WY $1,349UT $234
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.