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 $229.09 Median $316.23 Typical High $457.09 | Facility | None | $229.09 | $316.23 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $229.09 | $251.19 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $74.13 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $173.78 | $363.08 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $288.40 | $354.81 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $95.50 | $95.50 | $107.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $257.04 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $245.47 | $478.63 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $70.79 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $354.81 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $354.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $501.19 | Professional | None | $288.40 | $338.84 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $239.88 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $239.88 | $363.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $39.81 | $83.18 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $275.42 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $275.42 | $275.42 | $436.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $83.18 | $125.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $190.55 | $309.03 |
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 $114.82 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $50.12 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $186.21 | $199.53 | $199.53 |
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· 39th of 51
$355
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.