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 $257.04 Median $275.42 Typical High $407.38 | Facility | None | $257.04 | $275.42 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $204.17 | $218.78 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $67.61 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $151.36 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $213.80 | $281.84 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $97.72 | Professional | 26 · Professional part | $83.18 | $89.13 | $97.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $234.42 | Professional | TC · Technical part | $190.55 | $194.98 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $194.98 | $363.08 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $64.57 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $263.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $446.68 | Professional | None | $234.42 | $269.15 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $85.11 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $181.97 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $169.82 | $295.12 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $74.13 Typical High $169.82 | Professional | 26 · Professional part | $32.36 | $74.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $131.83 | $208.93 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $234.42 | $234.42 | $363.08 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $75.86 | $117.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $154.88 | $251.19 |
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 $102.33 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $43.65 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | CT · Older CT scanner | $173.78 | $186.21 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $162.18 | $177.83 | $177.83 |
Where Maryland sits
The same service costs 6.3 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
$282
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.