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 $208.93 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $208.93 | $229.09 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $51.29 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $173.78 | $302.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $67.61 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $67.61 | $323.59 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $74.13 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $257.04 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $691.83 | Professional | None (both parts) | $223.87 | $380.19 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $47.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $323.59 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $457.09 | Professional | None | $263.03 | $302.00 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $66.07 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $234.42 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $173.78 | $309.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $26.92 | $58.88 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $257.04 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $251.19 | $251.19 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $57.54 | $87.10 |
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 $104.71 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $104.71 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $177.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $181.97 | $181.97 |
Where Maryland sits
The same service costs 5.0 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· 37th of 51
$316
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.