How much rates vary
Facilitymedian $427 · 10th to 90th $245 to $851Professionalmedian $269 · 10th to 90th $79 to $513
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 $245.47 Median $426.58 Typical High $851.14 | Facility | None | $245.47 | $426.58 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $331.13 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $125.89 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $239.88 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $79.43 | $269.15 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $87.10 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $190.55 | $213.80 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $181.97 | $371.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $54.95 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $128.82 | $257.04 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $446.68 | Professional | None | $218.78 | $251.19 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $173.78 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $194.98 | $302.00 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $30.20 | $64.57 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $234.42 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $213.80 | $213.80 | $338.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $64.57 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $147.91 | $239.88 |
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 13.5 times more in Vermont 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
$269
VT $2,089UT $155
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.