How much rates vary
Professionalmedian $186 · 10th to 90th $155 to $302
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 $165.96 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $165.96 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $144.54 | $158.49 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $181.97 | $186.21 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $23.99 | $23.99 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $154.88 | $162.18 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $144.54 | $169.82 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $46.77 | Professional | 26 · Professional part | $17.78 | $19.50 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $144.54 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $371.54 | Professional | None | $181.97 | $223.87 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $26.92 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $190.55 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $131.83 | $194.98 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $67.61 | Professional | 26 · Professional part | $16.60 | $24.55 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $537.03 | Professional | TC · Technical part | $114.82 | $173.78 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $162.18 | $162.18 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $19.95 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $141.25 | $141.25 | $263.03 |
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 $81.28 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | FX · Film X-ray | $131.83 | $131.83 | $144.54 |
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
$186
AK $741KY $162
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.