How much rates vary
Professionalmedian $123 · 10th to 90th $37 to $195
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 $104.71 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $104.71 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $31.62 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $85.11 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $37.15 | $128.82 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $33.88 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $97.72 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $107.15 | $123.03 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $29.51 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $91.20 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $245.47 | Professional | None | $131.83 | $165.96 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $40.74 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $97.72 | $125.89 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $95.50 | $138.04 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $33.11 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $104.71 | $218.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $204.17 | Professional | None (both parts) | $75.86 | $75.86 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $20.89 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $56.23 | $151.36 |
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 $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $85.11 | $93.33 |
Where Maryland sits
The same service costs 3.7 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· 43rd of 51
$123
AK $363TX $97.72
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.