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 $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $181.97 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $144.54 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $251.19 | $281.84 | $309.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $66.07 | $70.79 | $77.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $186.21 | $204.17 | $204.17 |
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 $46.77 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $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 $69.18 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $69.18 | $91.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $173.78 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $173.78 | $281.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $28.18 | $60.26 | $134.90 |
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 $331.13 | Professional | None (both parts) | $208.93 | $208.93 | $331.13 |
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 $239.88 | Professional | TC · Technical part | $147.91 | $147.91 | $239.88 |
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 $100.00 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $39.81 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | CT · Older CT scanner | $154.88 | $169.82 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $147.91 | $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· 43rd 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.