How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $181.97 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $53.70 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $144.54 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $77.62 | $257.04 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $66.07 | $70.79 | $70.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $204.17 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $177.83 | $346.74 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $51.29 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $128.82 | $251.19 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $407.38 | Professional | None | $208.93 | $239.88 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $67.61 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $169.82 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $173.78 | $281.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $28.18 | $60.26 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $223.87 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $208.93 | $208.93 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $60.26 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $147.91 | $234.42 |
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 $91.20 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $38.90 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $144.54 | $158.49 | $158.49 |
Where Maryland sits
The same service costs 5.2 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· 41st of 51
$257
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.