How much rates vary
Facilitymedian $316 · 10th to 90th $234 to $468Professionalmedian $288 · 10th to 90th $112 to $490
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 $234.42 Median $316.23 Typical High $467.74 | Facility | None | $234.42 | $316.23 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $234.42 | $251.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $77.62 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $173.78 | $354.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $100.00 | $288.40 | $398.11 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $100.00 | $128.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $251.19 | $457.09 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $72.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $181.97 | $331.13 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $512.86 | Professional | None | $302.00 | $346.74 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $100.00 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $245.47 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $213.80 | $380.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $42.66 | $89.13 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $602.56 | Professional | TC · Technical part | $177.83 | $281.84 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $281.84 | $281.84 | $436.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $87.10 | $131.83 |
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 $117.49 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $199.53 | $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 12.3 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· 45th of 51
$288
VT $2,089UT $170
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.