How much rates vary
Facilitymedian $129 · 10th to 90th $98 to $195Professionalmedian $135 · 10th to 90th $47 to $224
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $194.98 | Facility | None | $97.72 | $128.82 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $97.72 | $104.71 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $35.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $69.18 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $46.77 | $134.90 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $43.65 | $52.48 | $52.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $97.72 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $93.33 | $186.21 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $61.66 | $123.03 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $213.80 | Professional | None | $112.20 | $128.82 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $46.77 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $83.18 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $91.20 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $19.05 | $40.74 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $100.00 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $112.20 | $112.20 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $40.74 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $70.79 | $114.82 |
4 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 $48.98 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $20.89 | $22.91 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | CT · Older CT scanner | $83.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $83.18 | $83.18 |
Where Maryland sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 42nd of 51
$135
VT $1,585UT $77.62
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.