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 $131.83 Median $363.08 Typical High $1,584.89 | Facility | None | $131.83 | $363.08 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | None (both parts) | $131.83 | $131.83 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $45.71 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $81.28 | $85.11 | $234.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $134.90 | $190.55 | $380.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $66.07 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $954.99 Typical High $1,096.48 | Facility | None | $288.40 | $954.99 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $147.91 | $302.00 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $213.80 | Professional | 26 · Professional part | $42.66 | $63.10 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $112.20 | $223.87 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $331.13 | Professional | None | $141.25 | $151.36 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $123.03 | $229.09 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $69.18 Typical High $177.83 | Professional | 26 · Professional part | $33.11 | $69.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $162.18 | $323.59 |
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 $60.26 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $60.26 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $26.30 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | CT · Older CT scanner | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $100.00 | $104.71 | $104.71 |
Where Washington, DC sits
The same service costs 6.2 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· 33rd of 51
$191
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.