How much rates vary
Facilitymedian $45 · 10th to 90th $33 to $66Professionalmedian $35 · 10th to 90th $26 to $59
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 $33.11 Median $44.67 Typical High $66.07 | Facility | None | $33.11 | $44.67 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $33.11 | $35.48 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $7.59 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $28.18 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $33.88 | $38.02 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.71 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $30.90 | Professional | TC · Technical part | $28.18 | $30.20 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $67.61 | Professional | None (both parts) | $28.84 | $33.88 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $15.49 | Professional | 26 · Professional part | $6.46 | $7.08 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $21.88 | $26.92 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $61.66 | Professional | None | $38.90 | $46.77 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $10.00 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $36.31 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $25.12 | $34.67 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $18.62 | Professional | 26 · Professional part | $6.31 | $8.51 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $58.88 | Professional | TC · Technical part | $18.20 | $25.70 | $58.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $64.57 | Professional | None (both parts) | $24.55 | $24.55 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $13.80 | Professional | 26 · Professional part | $5.37 | $5.37 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $19.05 | $50.12 |
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 $16.60 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.61 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $26.30 | $28.84 | $28.84 |
Where Maryland sits
The same service costs 13.5 times more in Vermont 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· 41st of 51
$35.48
VT $389FL $28.84
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.