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 $295.12 Median $407.38 Typical High $467.74 | Facility | None | $295.12 | $407.38 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $234.42 | $257.04 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $79.43 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $173.78 | $363.08 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $389.05 | $416.87 | $467.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | 26 · Professional part | $102.33 | $104.71 | $114.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | TC · Technical part | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $275.42 | $478.63 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $75.86 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $380.19 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $537.03 | Professional | None | $346.74 | $398.11 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $102.33 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $251.19 | $288.40 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $239.88 | $380.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $42.66 | $89.13 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $177.83 | $309.03 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $281.84 | $281.84 | $446.68 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $89.13 | $138.04 |
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 $117.49 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $51.29 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | CT · Older CT scanner | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $190.55 | $204.17 | $204.17 |
Where Maryland sits
The same service costs 6.2 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· 31st of 51
$417
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.