How much rates vary
Professionalmedian $135 · 10th to 90th $115 to $309
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 $123.03 Typical High $173.78 | Professional | None (both parts) | $114.82 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $70.79 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $128.82 | $144.54 | $158.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $58.88 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $79.43 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $389.05 | Professional | None (both parts) | $102.33 | $131.83 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $50.12 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $239.88 | Professional | TC · Technical part | $56.23 | $64.57 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $245.47 | Professional | None | $134.90 | $158.49 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $69.18 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $89.13 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $125.89 | $199.53 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $61.66 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $346.74 | Professional | TC · Technical part | $70.79 | $128.82 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $131.83 | $131.83 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $60.26 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $74.13 | $117.49 |
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 $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $93.33 | $97.72 | $97.72 |
Where Maryland sits
The same service costs 5.4 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· 46th of 51
$135
AK $407UT $75.86
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.