How much rates vary
Professionalmedian $513 · 10th to 90th $269 to $851
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 $478.63 Median $478.63 Typical High $512.86 | Professional | None (both parts) | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 26 · Professional part | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $223.87 | $223.87 | $245.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $269.15 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $269.15 | $524.81 | $630.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $275.42 | $331.13 | $331.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $251.19 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $446.68 | $501.19 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $269.15 Typical High $588.84 | Professional | 26 · Professional part | $239.88 | $269.15 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $204.17 | $239.88 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $954.99 | Professional | None | $562.34 | $676.08 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $512.86 | Professional | 26 · Professional part | $302.00 | $363.08 | $512.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $323.59 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,258.93 | Professional | None (both parts) | $380.19 | $562.34 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $331.13 Typical High $707.95 | Professional | 26 · Professional part | $213.80 | $331.13 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $151.36 | $234.42 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $416.87 | $416.87 | $912.01 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $478.63 | Professional | 26 · Professional part | $218.78 | $218.78 | $478.63 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $190.55 | $436.52 |
4 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 $239.88 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | FX · Film X-ray | $389.05 | $389.05 | $416.87 |
Where Maryland sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 44th of 51
$513
AK $2,239FL $398
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.