How much rates vary
Facilitymedian $38 · 10th to 90th $38 to $38Professionalmedian $20 · 10th to 90th $15 to $34
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.89 Typical High $38.90 | Professional | None (both parts) | $19.05 | $20.89 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $12.88 | Professional | 26 · Professional part | $6.31 | $6.61 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.13 Typical High $26.30 | Professional | TC · Technical part | $12.88 | $14.13 | $26.30 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $16.60 Typical High $24.55 | Professional | None (both parts) | $7.76 | $16.60 | $24.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $8.13 | Professional | 26 · Professional part | $6.92 | $7.08 | $8.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.79 Typical High $20.42 | Professional | TC · Technical part | $14.13 | $14.79 | $20.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.50 Typical High $44.67 | Professional | None (both parts) | $17.38 | $19.50 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.31 Typical High $14.13 | Professional | 26 · Professional part | $5.75 | $6.31 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.18 Typical High $29.51 | Professional | TC · Technical part | $11.48 | $13.18 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $34.67 | Professional | None | $22.91 | $26.30 | $34.67 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $7.59 | $8.51 | $11.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $23.44 | Professional | TC · Technical part | $15.49 | $17.78 | $23.44 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.39 Typical High $48.98 | Professional | None (both parts) | $17.38 | $22.39 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.41 Typical High $16.60 | Professional | 26 · Professional part | $5.50 | $7.41 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $15.14 Typical High $32.36 | Professional | TC · Technical part | $11.22 | $15.14 | $32.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $36.31 | Professional | None (both parts) | $18.62 | $18.62 | $36.31 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $6.17 | $11.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $24.55 | Professional | TC · Technical part | $12.59 | $12.59 | $24.55 |
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 $9.55 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.89 | $4.17 | $4.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | FX · Film X-ray | $15.49 | $16.60 | $16.60 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 49th of 51
$20.42
AK $64.57FL $17.38
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.