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 $138.04 Median $181.97 Typical High $275.42 | Facility | None | $138.04 | $181.97 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $331.13 | Professional | None (both parts) | $138.04 | $151.36 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $47.86 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $102.33 | $251.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $151.36 | $194.98 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $61.66 | $69.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $131.83 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $134.90 | $269.15 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $40.74 | $46.77 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $91.20 | $181.97 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $338.84 | Professional | None | $162.18 | $186.21 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $61.66 | $81.28 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $123.03 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $134.90 | $204.17 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $28.84 | $57.54 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $147.91 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $158.49 | $158.49 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $53.70 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $107.15 | $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 $69.18 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $30.20 | $33.11 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | CT · Older CT scanner | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Where Maryland sits
The same service costs 5.9 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· 42nd of 51
$195
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.