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 $199.53 Median $1,445.44 Typical High $2,041.74 | Facility | None | $199.53 | $1,445.44 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $181.97 | $199.53 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $53.70 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $144.54 | $239.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $257.04 | $281.84 | $371.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $70.79 | $77.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $223.87 | Professional | TC · Technical part | $186.21 | $204.17 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,621.81 Typical High $1,819.70 | Facility | None | $489.78 | $1,621.81 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $223.87 | $436.52 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $251.19 | Professional | 26 · Professional part | $51.29 | $70.79 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $758.58 | Professional | TC · Technical part | $177.83 | $346.74 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $501.19 | Professional | None | $208.93 | $229.09 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $181.97 | $346.74 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $75.86 Typical High $208.93 | Professional | 26 · Professional part | $39.81 | $75.86 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $147.91 | $251.19 | $549.54 |
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 $91.20 Median $100.00 Typical High $141.25 | Professional | 52 · Reduced service | $91.20 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $56.23 | Professional | 53 · Discontinued | $36.31 | $39.81 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | CT · Older CT scanner | $154.88 | $169.82 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $147.91 | $158.49 | $158.49 |
Where Washington, DC sits
The same service costs 5.2 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· 35th of 51
$282
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.