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 $251.19 Median $676.08 Typical High $2,041.74 | Facility | None | $251.19 | $676.08 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $239.88 | $251.19 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $194.98 | Professional | 26 · Professional part | $70.79 | $74.13 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $173.78 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $95.50 | $354.81 | $426.58 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $107.15 | $107.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $275.42 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,238.72 Typical High $2,511.89 | Facility | None | $489.78 | $2,238.72 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $575.44 Typical High $1,479.11 | Professional | None (both parts) | $346.74 | $575.44 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $338.84 | Professional | 26 · Professional part | $69.18 | $97.72 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $457.09 Typical High $1,071.52 | Professional | TC · Technical part | $245.47 | $457.09 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $691.83 | Professional | None | $288.40 | $316.23 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $478.63 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $281.84 | Professional | 26 · Professional part | $53.70 | $104.71 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $389.05 Typical High $758.58 | Professional | TC · Technical part | $204.17 | $389.05 | $758.58 |
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 $114.82 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $114.82 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $45.71 | $50.12 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $194.98 | $199.53 | $199.53 |
Where Washington, DC sits
The same service costs 7.6 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
$363
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.