How much rates vary
Facilitymedian $162 · 10th to 90th $123 to $240Professionalmedian $170 · 10th to 90th $123 to $316
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 $123.03 Median $162.18 Typical High $239.88 | Facility | None | $123.03 | $162.18 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $123.03 | $131.83 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $45.71 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $85.11 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $158.49 | $173.78 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $60.26 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $117.49 | $239.88 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $43.65 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $158.49 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $158.49 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $263.03 | Professional | None | $141.25 | $162.18 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $57.54 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $102.33 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $117.49 | $194.98 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $52.48 Typical High $117.49 | Professional | 26 · Professional part | $25.70 | $52.48 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $131.83 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $138.04 | $138.04 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $51.29 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $89.13 | $141.25 |
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 $60.26 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $26.30 | $28.84 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | CT · Older CT scanner | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $104.71 | $104.71 |
Where Maryland sits
The same service costs 6.2 times more in Vermont 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· 43rd of 51
$170
VT $617UT $100
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.