How much rates vary
Professionalmedian $74 · 10th to 90th $9 to $115
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 $63.10 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $7.94 | $8.32 | $8.32 |
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 $8.71 Median $74.13 Typical High $81.28 | Professional | None (both parts) | $8.71 | $74.13 | $81.28 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $10.72 | Professional | 26 · Professional part | $8.71 | $9.77 | $10.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $60.26 | $64.57 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $57.54 | $83.18 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $9.33 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $57.54 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $134.90 | Professional | None | $74.13 | $95.50 | $134.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $9.12 | $11.22 | $19.05 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $83.18 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $234.42 | Professional | None (both parts) | $56.23 | $81.28 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $28.18 | Professional | 26 · Professional part | $7.59 | $10.23 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $204.17 | Professional | TC · Technical part | $47.86 | $72.44 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | None (both parts) | $74.13 | $74.13 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.13 |
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 $31.62 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $12.59 | $12.59 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | FX · Film X-ray | $50.12 | $50.12 | $54.95 |
Where Maryland sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 48th of 51
$74.13
AL $479TX $66.07
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.