How much rates vary
Professionalmedian $129 · 10th to 90th $105 to $275
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 $109.65 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $109.65 | $112.20 | $120.23 |
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 $89.13 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $89.13 | $89.13 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $104.71 | $125.89 | $154.88 |
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 $97.72 Median $114.82 Typical High $117.49 | Professional | TC · Technical part | $97.72 | $114.82 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $100.00 | $151.36 | $323.59 |
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 $81.28 Median $93.33 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $93.33 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $263.03 | Professional | None | $128.82 | $169.82 | $263.03 |
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 $104.71 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $141.25 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $107.15 | $186.21 | $407.38 |
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 $89.13 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $158.49 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $128.82 | $128.82 | $213.80 |
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 $104.71 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $104.71 | $177.83 |
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 $54.95 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $22.39 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Where Maryland sits
The same service costs 5.2 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
$129
AL $550TX $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.