How much rates vary
Professionalmedian $407 · 10th to 90th $324 to $708
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 $371.54 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $338.84 | $338.84 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $389.05 | $407.38 | $457.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $36.31 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $389.05 Typical High $416.87 | Professional | TC · Technical part | $354.81 | $389.05 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $954.99 | Professional | None (both parts) | $323.59 | $371.54 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $30.20 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $295.12 | $338.84 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $851.14 | Professional | None | $398.11 | $478.63 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $40.74 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $354.81 | $436.52 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $1,348.96 | Professional | None (both parts) | $288.40 | $446.68 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $107.15 | Professional | 26 · Professional part | $25.70 | $38.02 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $1,230.27 | Professional | TC · Technical part | $263.03 | $416.87 | $1,230.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $371.54 | $371.54 | $660.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $31.62 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $338.84 | $338.84 | $602.56 |
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 $186.21 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | FX · Film X-ray | $295.12 | $295.12 | $323.59 |
Where Maryland sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 46th of 51
$407
AK $1,585KY $347
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.