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 $117.49 Median $154.88 Typical High $234.42 | Facility | None | $117.49 | $154.88 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $117.49 | $128.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $36.31 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $91.20 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $154.88 | $177.83 | $199.53 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $52.48 | $52.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $123.03 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $114.82 | $223.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $35.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $162.18 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $269.15 | Professional | None | $134.90 | $158.49 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $47.86 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $109.65 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $112.20 | $173.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $97.72 | Professional | 26 · Professional part | $25.12 | $45.71 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $81.28 | $123.03 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $134.90 | $134.90 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $40.74 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $93.33 | $93.33 | $151.36 |
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 $58.88 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $23.44 | $25.70 | $27.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | CT · Older CT scanner | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
Where Maryland sits
The same service costs 4.9 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· 44th of 51
$166
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.