How much rates vary
Facilitymedian $47 · 10th to 90th $34 to $68Professionalmedian $37 · 10th to 90th $25 to $60
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 $33.88 Median $46.77 Typical High $67.61 | Facility | None | $33.88 | $46.77 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $33.88 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.03 Typical High $11.75 | Professional | 26 · Professional part | $5.75 | $6.03 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $28.18 | $30.90 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $33.11 | $39.81 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.76 Typical High $7.08 | Professional | 26 · Professional part | $6.46 | $6.76 | $7.08 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $30.90 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $28.18 | $34.67 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.75 Typical High $12.30 | Professional | 26 · Professional part | $5.25 | $5.75 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $29.51 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $63.10 | Professional | None | $39.81 | $47.86 | $63.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $6.92 | $7.76 | $10.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $39.81 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $21.88 | $34.67 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.76 Typical High $15.14 | Professional | 26 · Professional part | $4.90 | $6.76 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $28.18 Typical High $64.57 | Professional | TC · Technical part | $16.22 | $28.18 | $64.57 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $66.07 | Professional | None (both parts) | $25.12 | $25.12 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $4.27 Typical High $10.72 | Professional | 26 · Professional part | $4.27 | $4.27 | $10.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $56.23 | Professional | TC · Technical part | $20.89 | $20.89 | $56.23 |
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 $16.98 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $16.98 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.76 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $29.51 | $29.51 |
Where Maryland sits
The same service costs 11.5 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· 38th of 51
$37.15
VT $339FL $29.51
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.