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 $234.42 Median $354.81 Typical High $457.09 | Facility | None | $234.42 | $354.81 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $234.42 | $251.19 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $75.86 | $141.25 |
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 $363.08 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $363.08 | $380.19 | $426.58 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $97.72 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $281.84 | $295.12 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $263.03 | $446.68 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $72.44 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $346.74 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $501.19 | Professional | None | $316.23 | $363.08 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $97.72 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $229.09 | $263.03 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $758.58 | Professional | None (both parts) | $218.78 | $363.08 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $40.74 | $85.11 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $281.84 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $275.42 | $275.42 | $436.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $85.11 | $128.82 |
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 $114.82 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $194.98 | $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 6.0 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· 33rd of 51
$380
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.