How much rates vary
Professionalmedian $72 · 10th to 90th $8 to $120
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 $61.66 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.61 | $6.76 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | TC · Technical part | $54.95 | $54.95 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.94 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $7.94 | $72.44 | $79.43 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.24 Typical High $9.55 | Professional | 26 · Professional part | $6.76 | $7.24 | $9.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $72.44 | Professional | TC · Technical part | $64.57 | $70.79 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $169.82 | Professional | None (both parts) | $56.23 | $70.79 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $7.59 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $57.54 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | None | $72.44 | $89.13 | $131.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $9.55 | $15.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $79.43 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $229.09 | Professional | None (both parts) | $48.98 | $70.79 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $22.91 | Professional | 26 · Professional part | $6.31 | $8.32 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $204.17 | Professional | TC · Technical part | $43.65 | $63.10 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $72.44 | $72.44 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $7.76 | $12.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $64.57 | $107.15 |
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 $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | FX · Film X-ray | $48.98 | $48.98 | $53.70 |
Where Maryland sits
The same service costs 8.1 times more in Alabama 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· 45th of 51
$72.44
AL $513IN $63.10
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.