How much rates vary
Professionalmedian $48 · 10th to 90th $41 to $87
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 $40.74 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $40.74 | $43.65 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $19.05 | $19.95 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $23.99 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $52.48 | Professional | None (both parts) | $44.67 | $50.12 | $52.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $114.82 | Professional | None (both parts) | $37.15 | $46.77 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $19.50 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $22.39 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | None | $50.12 | $60.26 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $26.92 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $39.81 | $58.88 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $23.44 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $21.88 | $34.67 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $47.86 | $47.86 | $79.43 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $22.91 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $25.70 | $43.65 |
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 $20.42 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $35.48 | $35.48 |
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· 47th of 51
$47.86
AK $141UT $31.62
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.