How much rates vary
Facilitymedian $63 · 10th to 90th $50 to $78Professionalmedian $58 · 10th to 90th $29 to $105
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 $50.12 Median $63.10 Typical High $77.62 | Facility | None | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $50.12 | $53.70 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $24.55 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $28.84 | $69.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $25.70 | $57.54 | $64.57 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $28.84 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $31.62 | $32.36 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $131.83 | Professional | None (both parts) | $45.71 | $56.23 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $22.91 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $85.11 | Professional | TC · Technical part | $25.12 | $30.90 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $120.23 | Professional | None | $64.57 | $75.86 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $33.11 | $46.77 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $43.65 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $60.26 | $77.62 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $41.69 | $51.29 | $104.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $60.26 | $60.26 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $27.54 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $32.36 | $57.54 |
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 $25.12 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.00 | $10.72 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $39.81 | $42.66 | $42.66 |
Where Maryland sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 48th of 51
$57.54
AK $195TX $47.86
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.