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 $128.82 Median $354.81 Typical High $2,041.74 | Facility | None | $128.82 | $354.81 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $354.81 | Professional | None (both parts) | $128.82 | $128.82 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $41.69 | $114.82 |
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 $54.95 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $54.95 | $165.96 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $61.66 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $123.03 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $977.24 Typical High $1,096.48 | Facility | None | $288.40 | $977.24 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $691.83 | Professional | None (both parts) | $151.36 | $269.15 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $194.98 | Professional | 26 · Professional part | $39.81 | $58.88 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $112.20 | $204.17 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $309.03 | Professional | None | $138.04 | $141.25 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $114.82 | $223.87 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $31.62 | $60.26 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $158.49 | $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 $58.88 Median $64.57 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $25.70 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | CT · Older CT scanner | $102.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Washington, DC sits
The same service costs 5.8 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· 40th of 51
$174
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.