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 $691.83 Typical High $2,041.74 | Facility | None | $251.19 | $691.83 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $691.83 | Professional | None (both parts) | $245.47 | $251.19 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $77.62 | $199.53 |
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 $100.00 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $100.00 | $288.40 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,290.87 Typical High $2,570.40 | Facility | None | $489.78 | $2,290.87 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $1,479.11 | Professional | None (both parts) | $288.40 | $524.81 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $354.81 | Professional | 26 · Professional part | $72.44 | $102.33 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $218.78 | $426.58 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $707.95 | Professional | None | $302.00 | $323.59 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $436.52 Typical High $1,071.52 | Professional | None (both parts) | $234.42 | $436.52 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $109.65 Typical High $295.12 | Professional | 26 · Professional part | $56.23 | $109.65 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $177.83 | $316.23 | $776.25 |
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 $117.49 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $50.12 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $208.93 | $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 12.3 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
$355
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.