How much rates vary
Professionalmedian $126 · 10th to 90th $83 to $195
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 $114.82 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $114.82 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $26.92 | Professional | 26 · Professional part | $23.44 | $24.55 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $93.33 | $102.33 | $102.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $120.23 | $125.89 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $28.18 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $95.50 | $102.33 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $97.72 | $112.20 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $23.44 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $89.13 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $213.80 | Professional | None | $134.90 | $162.18 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $32.36 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $128.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $81.28 | $125.89 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $28.18 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $97.72 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $223.87 | Professional | None (both parts) | $83.18 | $83.18 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $17.78 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $66.07 | $177.83 |
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 $57.54 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $100.00 | $100.00 |
Where Maryland sits
The same service costs 3.9 times more in Alaska than in New York. 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
$126
AK $380NY $97.72
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.