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 $169.82 Median $1,445.44 Typical High $2,041.74 | Facility | None | $169.82 | $1,445.44 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $169.82 | $169.82 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $51.29 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $117.49 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $75.86 | $218.78 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $67.61 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $162.18 | $165.96 | $218.78 |
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 $190.55 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $190.55 | $363.08 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $239.88 | Professional | 26 · Professional part | $48.98 | $67.61 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $281.84 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $426.58 | Professional | None | $181.97 | $194.98 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $147.91 | $288.40 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $72.44 Typical High $199.53 | Professional | 26 · Professional part | $38.02 | $72.44 | $199.53 |
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 $77.62 Median $85.11 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $33.88 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $144.54 Typical High $144.54 | Professional | CT · Older CT scanner | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $125.89 | $134.90 | $134.90 |
Where Washington, DC sits
The same service costs 5.5 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
$234
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.