How much rates vary
Professionalmedian $162 · 10th to 90th $20 to $257
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 $147.91 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $128.82 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.95 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $19.95 | $165.96 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $19.05 | $21.38 | $25.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $138.04 | $147.91 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $128.82 | $147.91 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $17.78 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $131.83 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $331.13 | Professional | None | $162.18 | $194.98 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $25.12 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $169.82 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $537.03 | Professional | None (both parts) | $109.65 | $173.78 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $64.57 | Professional | 26 · Professional part | $15.85 | $22.91 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $478.63 | Professional | TC · Technical part | $95.50 | $154.88 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $144.54 | $144.54 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $18.20 | $33.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $125.89 | $234.42 |
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 $74.13 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $117.49 | $117.49 | $128.82 |
Where Maryland sits
The same service costs 4.7 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· 45th of 51
$162
AK $646KY $138
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.