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 $154.88 Median $426.58 Typical High $2,041.74 | Facility | None | $154.88 | $426.58 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $154.88 | $154.88 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $54.95 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $102.33 | $257.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $70.79 | $204.17 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | 26 · Professional part | $77.62 | $79.43 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $147.91 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $1,148.15 Typical High $1,288.25 | Facility | None | $288.40 | $1,148.15 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $831.76 | Professional | None (both parts) | $194.98 | $295.12 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $251.19 | Professional | 26 · Professional part | $51.29 | $70.79 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $138.04 | $234.42 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $398.11 | Professional | None | $169.82 | $181.97 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $138.04 | $288.40 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $75.86 Typical High $208.93 | Professional | 26 · Professional part | $39.81 | $75.86 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $112.20 | $208.93 | $389.05 |
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 $72.44 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $31.62 | $39.81 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | CT · Older CT scanner | $125.89 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $117.49 | $125.89 | $125.89 |
Where Washington, DC 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.
Washington, DC· 38th of 51
$204
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.