How much rates vary
Professionalmedian $170 · 10th to 90th $83 to $234
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 $95.50 Typical High $95.50 | Professional | None (both parts) | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $38.02 | $38.02 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $169.82 | $213.80 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $58.88 | $66.07 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $144.54 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $239.88 | Professional | None (both parts) | $81.28 | $97.72 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $58.88 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $97.72 | Professional | TC · Technical part | $33.88 | $38.90 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $190.55 | Professional | None | $109.65 | $131.83 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $75.86 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $56.23 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $363.08 | Professional | None (both parts) | $97.72 | $169.82 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $52.48 | $77.62 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $39.81 | $91.20 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $93.33 | $97.72 |
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 $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $72.44 | $77.62 |
Where Maryland sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 25th of 51
$170
NE $537NJ $115
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.