How much rates vary
Professionalmedian $115 · 10th to 90th $22 to $195
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 $95.50 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $95.50 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.42 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $75.86 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $22.39 | $112.20 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $22.39 | $25.12 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $89.13 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $87.10 | $134.90 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $53.70 | Professional | 26 · Professional part | $18.62 | $25.12 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $213.80 | Professional | TC · Technical part | $69.18 | $79.43 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $234.42 | Professional | None | $112.20 | $147.91 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $29.51 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $117.49 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $95.50 | $151.36 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $72.44 | Professional | 26 · Professional part | $19.95 | $26.92 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $75.86 | $123.03 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $114.82 | $114.82 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $23.99 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $89.13 | $89.13 | $147.91 |
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 $47.86 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $47.86 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $77.62 | $83.18 |
Where Maryland sits
The same service costs 4.6 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
$115
AL $479TX $105
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.