How much rates vary
Facilitymedian $42 · 10th to 90th $31 to $60Professionalmedian $33 · 10th to 90th $9 to $51
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 $30.90 Median $41.69 Typical High $60.26 | Facility | None | $30.90 | $41.69 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $30.90 | $33.11 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $7.24 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $25.70 | $46.77 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $32.36 Typical High $38.90 | Professional | None (both parts) | $7.59 | $32.36 | $38.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $9.77 | Professional | 26 · Professional part | $7.76 | $8.51 | $9.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | TC · Technical part | $25.70 | $26.92 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $26.92 | $30.90 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.76 Typical High $15.14 | Professional | 26 · Professional part | $6.17 | $6.76 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $23.99 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $54.95 | Professional | None | $36.31 | $41.69 | $54.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $9.55 | $12.59 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $42.66 | Professional | TC · Technical part | $27.54 | $32.36 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $24.55 | $33.11 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $8.13 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $56.23 | Professional | TC · Technical part | $18.20 | $23.99 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $57.54 | Professional | None (both parts) | $23.99 | $23.99 | $57.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.50 Typical High $12.59 | Professional | 26 · Professional part | $5.50 | $5.50 | $12.59 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $18.20 | $44.67 |
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 $15.14 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $24.55 | $26.30 | $26.30 |
Where Maryland sits
The same service costs 15.1 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
$33.11
VT $407FL $26.92
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.