How much rates vary
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 $144.54 Median $190.55 Typical High $288.40 | Facility | None | $144.54 | $190.55 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $144.54 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $54.95 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $102.33 | $208.93 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $70.79 | $204.17 | $223.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $79.43 | $83.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $131.83 | $147.91 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $141.25 | $269.15 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $51.29 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $91.20 | $186.21 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $302.00 | Professional | None | $169.82 | $194.98 | $302.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $61.66 | $69.18 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $123.03 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $138.04 | $239.88 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $61.66 Typical High $134.90 | Professional | 26 · Professional part | $28.18 | $61.66 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $104.71 | $169.82 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $165.96 | $165.96 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $93.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $104.71 | $169.82 |
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 $72.44 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $72.44 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $31.62 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | CT · Older CT scanner | $123.03 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $114.82 | $125.89 | $125.89 |
Where Maryland sits
The same service costs 6.2 times more in Alaska 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· 45th of 51
$191
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.