How much rates vary
Facilitymedian $63 · 10th to 90th $55 to $89Professionalmedian $48 · 10th to 90th $36 to $78
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 $54.95 Median $63.10 Typical High $89.13 | Facility | None | $54.95 | $63.10 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $44.67 | $47.86 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $13.80 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $33.88 | $61.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $39.81 | $51.29 | $56.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $15.14 | $16.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $33.88 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $39.81 | $44.67 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $13.18 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $32.36 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $79.43 | Professional | None | $52.48 | $60.26 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $17.78 | $23.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $42.66 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $109.65 | Professional | None (both parts) | $35.48 | $48.98 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $33.88 | Professional | 26 · Professional part | $11.48 | $15.49 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $32.36 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $83.18 | Professional | None (both parts) | $36.31 | $36.31 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $10.96 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $25.70 | $58.88 |
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 $22.39 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.91 | $9.55 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $35.48 | $38.02 | $38.02 |
Where Maryland sits
The same service costs 4.5 times more in Alaska 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· 44th of 51
$47.86
AK $148UT $33.11
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.