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 $125.89 Median $154.88 Typical High $173.78 | Facility | None | $125.89 | $154.88 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $125.89 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $50.12 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $85.11 | $199.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $66.07 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $66.07 | $173.78 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $61.66 | $72.44 | $79.43 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $120.23 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $120.23 | $223.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $47.86 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $147.91 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $269.15 | Professional | None | $144.54 | $165.96 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $64.57 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $100.00 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $112.20 | $190.55 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $26.30 | $57.54 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $123.03 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $144.54 | $144.54 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $56.23 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $87.10 | $87.10 | $138.04 |
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 $63.10 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $63.10 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $25.12 | $26.92 | $29.51 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | CT · Older CT scanner | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $100.00 | $107.15 | $107.15 |
Where Maryland sits
The same service costs 5.4 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· 44th of 51
$162
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.