How much rates vary
Professionalmedian $105 · 10th to 90th $91 to $178
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 $91.20 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $74.13 | $81.28 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $97.72 | $104.71 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $19.50 | Professional | 26 · Professional part | $17.38 | $19.05 | $19.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $87.10 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $83.18 | $100.00 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $38.02 | Professional | 26 · Professional part | $14.45 | $16.22 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $77.62 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $218.78 | Professional | None | $104.71 | $128.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $22.91 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $107.15 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $89.13 | $138.04 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.89 Typical High $54.95 | Professional | 26 · Professional part | $15.14 | $20.89 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $275.42 | Professional | TC · Technical part | $74.13 | $112.20 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $107.15 | $107.15 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $18.62 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $87.10 | $144.54 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $18.62 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $72.44 | $79.43 |
Where Maryland sits
The same service costs 5.0 times more in Alabama than in New York. 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
$105
AL $479NY $95.50
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.