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 $117.49 Median $158.49 Typical High $234.42 | Facility | None | $117.49 | $158.49 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $117.49 | $128.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $41.69 | $81.28 |
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 $154.88 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $154.88 | $173.78 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $60.26 | $61.66 |
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 $114.82 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $114.82 | $234.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $39.81 | $91.20 |
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 $138.04 Median $158.49 Typical High $263.03 | Professional | None | $138.04 | $158.49 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $54.95 | $72.44 |
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 $51.29 Typical High $114.82 | Professional | 26 · Professional part | $25.70 | $51.29 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $138.04 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $134.90 | $134.90 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $46.77 | $72.44 |
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 $58.88 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $25.70 | $28.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | CT · Older CT scanner | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
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
$166
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.