How much rates vary
Professionalmedian $427 · 10th to 90th $105 to $603
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 $398.11 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $398.11 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $117.49 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $323.59 | Professional | TC · Technical part | $281.84 | $302.00 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $104.71 | $446.68 | $489.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | TC · Technical part | $346.74 | $346.74 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $64.57 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $234.42 | $436.52 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $616.60 | Professional | None | $354.81 | $407.38 | $616.60 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $87.10 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $316.23 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $257.04 | $446.68 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $79.43 Typical High $186.21 | Professional | 26 · Professional part | $35.48 | $79.43 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $380.19 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $346.74 | $346.74 | $549.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $77.62 | $117.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $269.15 | $436.52 |
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 5.4 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· 41st of 51
$427
WY $1,318UT $245
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.