How much rates vary
Professionalmedian $2,884 · 10th to 90th $41 to $3,802
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 $2,630.27 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $2,630.27 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,754.23 Typical High $2,884.03 | Professional | TC · Technical part | $2,630.27 | $2,754.23 | $2,884.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $3,388.44 Typical High $3,801.89 | Professional | None (both parts) | $40.74 | $3,388.44 | $3,801.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $3,162.28 Typical High $4,265.80 | Professional | TC · Technical part | $251.19 | $3,162.28 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $204.17 | $234.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $33.11 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $199.53 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $489.78 | Professional | None | $269.15 | $323.59 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $44.67 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $275.42 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $1,513.56 Typical High $3,890.45 | Professional | None (both parts) | $223.87 | $1,513.56 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $29.51 | $39.81 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $1,479.11 Typical High $3,801.89 | Professional | TC · Technical part | $190.55 | $1,479.11 | $3,801.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $5,128.61 Typical High $5,495.41 | Professional | None (both parts) | $3,890.45 | $5,128.61 | $5,495.41 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $57.54 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $5,495.41 | Professional | TC · Technical part | $70.79 | $70.79 | $5,495.41 |
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 $1,318.26 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,318.26 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $524.81 | $562.34 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,089.30 Median $2,238.72 Typical High $2,344.23 | Professional | FX · Film X-ray | $2,089.30 | $2,238.72 | $2,344.23 |
Where Maryland sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 2nd of 51
$2,884
CO $3,715NJ $245
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.