How much rates vary
Professionalmedian $105 · 10th to 90th $51 to $174
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 $97.72 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $97.72 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $35.48 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $63.10 | $69.18 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $46.77 | $100.00 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $45.71 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $85.11 | $89.13 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $85.11 | $97.72 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $33.88 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $63.10 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $173.78 | Professional | None | $117.49 | $134.90 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $46.77 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $87.10 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $91.20 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $29.51 | $40.74 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $54.95 | $87.10 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $91.20 | $91.20 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $32.36 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $57.54 | $120.23 |
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 $48.98 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $83.18 | $83.18 |
Where Maryland sits
The same service costs 4.3 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· 47th of 51
$105
AK $324UT $75.86
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.