How much rates vary
Professionalmedian $98 · 10th to 90th $31 to $151
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 $89.13 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $89.13 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $64.57 | $70.79 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $30.90 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $30.20 | Professional | 26 · Professional part | $27.54 | $28.18 | $30.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $72.44 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $79.43 | $89.13 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $25.12 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $64.57 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $181.97 | Professional | None | $102.33 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $34.67 | $51.29 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $89.13 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $72.44 | $102.33 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $28.18 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $74.13 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $70.79 | $70.79 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $20.42 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $117.49 | Professional | TC · Technical part | $50.12 | $50.12 | $117.49 |
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 $44.67 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $74.13 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $74.13 | $77.62 |
Where Maryland sits
The same service costs 4.2 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· 42nd of 51
$97.72
AK $302UT $72.44
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.