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 $467.74 Typical High $2,041.74 | Facility | None | $165.96 | $467.74 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $154.88 | $165.96 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $48.98 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $104.71 | $117.49 | $288.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $64.57 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $64.57 | $213.80 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $70.79 | $70.79 |
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 $190.55 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $190.55 | $331.13 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $45.71 | $64.57 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $251.19 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $407.38 | Professional | None | $177.83 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $134.90 | $281.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $190.55 | Professional | 26 · Professional part | $36.31 | $69.18 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $112.20 | $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 $46.77 | Professional | 53 · Discontinued | $30.90 | $33.11 | $46.77 |
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 5.4 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· 39th 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.