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 $104.71 Median $288.40 Typical High $1,584.89 | Facility | None | $104.71 | $288.40 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $295.12 | Professional | None (both parts) | $104.71 | $104.71 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $35.48 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $69.18 | $190.55 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $46.77 | $134.90 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $51.29 | $52.48 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $89.13 | $97.72 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $776.25 Typical High $870.96 | Facility | None | $288.40 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $234.42 Typical High $562.34 | Professional | None (both parts) | $102.33 | $234.42 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $165.96 | Professional | 26 · Professional part | $33.88 | $46.77 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $64.57 | $173.78 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $263.03 | Professional | None | $112.20 | $123.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $91.20 | $181.97 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $51.29 Typical High $138.04 | Professional | 26 · Professional part | $26.92 | $51.29 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $125.89 | $263.03 |
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 $48.98 Median $52.48 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $29.51 | Professional | 53 · Discontinued | $19.50 | $20.89 | $29.51 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | CT · Older CT scanner | $85.11 | $89.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $79.43 | $83.18 | $83.18 |
Where Washington, DC sits
The same service costs 20.4 times more in Vermont 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.
Washington, DC· 35th of 51
$151
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.