How much rates vary
Facilitymedian $288 · 10th to 90th $234 to $380Professionalmedian $331 · 10th to 90th $112 to $537
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 $288.40 Typical High $380.19 | Facility | None | $234.42 | $288.40 | $380.19 |
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 $74.13 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $75.86 | $144.54 |
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 $112.20 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $112.20 | $398.11 | $436.52 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $93.33 | $100.00 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $323.59 Typical High $354.81 | Professional | TC · Technical part | $288.40 | $323.59 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $275.42 | $467.74 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $72.44 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $371.54 Typical High $707.95 | Professional | TC · Technical part | $199.53 | $371.54 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $512.86 | Professional | None | $323.59 | $371.54 | $512.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $100.00 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $239.88 | $275.42 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $229.09 | $389.05 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $42.66 | $87.10 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $181.97 | $309.03 | $575.44 |
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 $87.10 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $87.10 | $131.83 |
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 $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $199.53 | $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 Texas. 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· 43rd of 51
$331
AK $1,023TX $170
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.