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 $177.83 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $177.83 | $194.98 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $51.29 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $144.54 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $67.61 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $67.61 | $251.19 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $74.13 | $74.13 |
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 $173.78 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $173.78 | $338.84 | $645.65 |
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 $128.82 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $128.82 | $257.04 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $416.87 | Professional | None | $208.93 | $239.88 | $416.87 |
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 $147.91 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $173.78 | $323.59 |
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 $27.54 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $27.54 | $57.54 | $128.82 |
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 $204.17 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $204.17 | $204.17 | $323.59 |
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 $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 $89.13 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $89.13 | $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 $151.36 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $151.36 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $144.54 | $154.88 | $154.88 |
Where Maryland sits
The same service costs 5.1 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· 42nd of 51
$251
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.