How much rates vary
Professionalmedian $1,047 · 10th to 90th $93 to $1,660
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 $954.99 Median $954.99 Typical High $1,047.13 | Professional | None (both parts) | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 26 · Professional part | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $977.24 | Professional | TC · Technical part | $870.96 | $870.96 | $977.24 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $93.33 Median $1,023.29 Typical High $1,230.27 | Professional | None (both parts) | $93.33 | $1,023.29 | $1,230.27 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $95.50 | $114.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,000.00 Typical High $1,122.02 | Professional | TC · Technical part | $954.99 | $1,000.00 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $977.24 Typical High $1,995.26 | Professional | None (both parts) | $851.14 | $977.24 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $91.20 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $891.25 Typical High $1,819.70 | Professional | TC · Technical part | $776.25 | $891.25 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,071.52 | $1,318.26 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $117.49 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,202.26 Typical High $1,905.46 | Professional | TC · Technical part | $977.24 | $1,202.26 | $1,905.46 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $1,096.48 Typical High $2,511.89 | Professional | None (both parts) | $354.81 | $1,096.48 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $114.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $1,000.00 Typical High $2,290.87 | Professional | TC · Technical part | $218.78 | $1,000.00 | $2,290.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,819.70 | Professional | None (both parts) | $831.76 | $831.76 | $1,819.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $74.13 | $154.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $1,659.59 | Professional | TC · Technical part | $758.58 | $758.58 | $1,659.59 |
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 $478.63 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | FX · Film X-ray | $776.25 | $776.25 | $851.14 |
Where Maryland sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$1,047
AK $4,365IN $794
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.