How much rates vary
Professionalmedian $1,660 · 10th to 90th $977 to $2,138
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 $1,000.00 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,584.89 | Professional | TC · Technical part | $870.96 | $870.96 | $1,584.89 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,778.28 Typical High $1,862.09 | Professional | None (both parts) | $1,174.90 | $1,778.28 | $1,862.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $66.07 | $74.13 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $1,096.48 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,023.29 Typical High $2,630.27 | Professional | None (both parts) | $588.84 | $1,023.29 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $64.57 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,318.26 | Professional | None | $575.44 | $741.31 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $81.28 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $660.69 Typical High $1,174.90 | Professional | TC · Technical part | $501.19 | $660.69 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,548.82 Typical High $5,248.07 | Professional | None (both parts) | $1,023.29 | $1,548.82 | $5,248.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $204.17 | Professional | 26 · Professional part | $48.98 | $77.62 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,479.11 Typical High $5,011.87 | Professional | TC · Technical part | $954.99 | $1,479.11 | $5,011.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $2,511.89 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $2,511.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $46.77 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $2,511.89 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $2,511.89 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Maryland sits
The same service costs 3.6 times more in Nebraska than in Montana. 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· 22nd of 51
$1,660
NE $3,162MT $871
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.