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 $165.96 Median $457.09 Typical High $1,584.89 | Facility | None | $165.96 | $457.09 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $165.96 | $165.96 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $48.98 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $117.49 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $162.18 | $239.88 | $436.52 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $70.79 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $181.97 | Professional | TC · Technical part | $151.36 | $165.96 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,318.26 Typical High $1,479.11 | Facility | None | $489.78 | $1,318.26 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $186.21 | $363.08 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $229.09 | Professional | 26 · Professional part | $46.77 | $67.61 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $275.42 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $275.42 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $416.87 | Professional | None | $177.83 | $190.55 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $630.96 | Professional | None (both parts) | $147.91 | $288.40 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $74.13 Typical High $190.55 | Professional | 26 · Professional part | $36.31 | $74.13 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $117.49 | $199.53 | $446.68 |
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 $75.86 Median $83.18 Typical High $117.49 | Professional | 52 · Reduced service | $75.86 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.11 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $33.11 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | CT · Older CT scanner | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $123.03 | $131.83 | $131.83 |
Where Washington, DC sits
The same service costs 5.9 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· 36th of 51
$240
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.