How much rates vary
Professionalmedian $214 · 10th to 90th $174 to $347
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 $186.21 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | TC · Technical part | $169.82 | $169.82 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $208.93 | $213.80 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $21.88 | $24.55 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $177.83 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $165.96 | $190.55 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $19.50 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $416.87 | Professional | TC · Technical part | $147.91 | $169.82 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $416.87 | Professional | None | $204.17 | $251.19 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $27.54 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $223.87 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $691.83 | Professional | None (both parts) | $151.36 | $218.78 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $69.18 | Professional | 26 · Professional part | $16.60 | $24.55 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $616.60 | Professional | TC · Technical part | $134.90 | $194.98 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $173.78 | $173.78 | $346.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $19.05 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $154.88 | $309.03 |
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 $93.33 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | FX · Film X-ray | $151.36 | $151.36 | $165.96 |
Where Maryland sits
The same service costs 4.8 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· 44th of 51
$214
AK $851KY $178
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.