How much rates vary
Professionalmedian $2,399 · 10th to 90th $87 to $3,890
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 $562.34 Median $2,691.53 Typical High $2,951.21 | Professional | None (both parts) | $562.34 | $2,691.53 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $81.28 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $2,691.53 Typical High $2,884.03 | Professional | TC · Technical part | $478.63 | $2,691.53 | $2,884.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $3,467.37 Typical High $3,890.45 | Professional | None (both parts) | $87.10 | $3,467.37 | $3,890.45 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $97.72 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $3,388.44 Typical High $3,388.44 | Professional | TC · Technical part | $91.20 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $263.03 | Professional | None (both parts) | $107.15 | $117.49 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $77.62 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $36.31 | $40.74 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $436.52 | Professional | None | $234.42 | $316.23 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $123.03 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $194.98 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $1,548.82 Typical High $3,981.07 | Professional | None (both parts) | $95.50 | $1,548.82 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $89.13 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $1,479.11 Typical High $3,801.89 | Professional | TC · Technical part | $33.11 | $1,479.11 | $3,801.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $457.09 | Professional | None (both parts) | $104.71 | $104.71 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $67.61 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $281.84 | Professional | TC · Technical part | $37.15 | $37.15 | $281.84 |
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 $1,412.54 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,318.26 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $562.34 Typical High $588.84 | Professional | 53 · Discontinued | $537.03 | $562.34 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,137.96 Median $2,238.72 Typical High $2,344.23 | Professional | FX · Film X-ray | $2,137.96 | $2,238.72 | $2,344.23 |
Where Maryland sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 3rd of 51
$2,399
CO $3,467NM $132
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.