How much rates vary
Facilitymedian $759 · 10th to 90th $132 to $1,096Professionalmedian $151 · 10th to 90th $117 to $263
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 $131.83 Median $131.83 Typical High $891.25 | Facility | None | $131.83 | $131.83 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $131.83 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $48.98 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $81.28 | $83.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $954.99 Typical High $1,621.81 | Facility | None | $691.83 | $954.99 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $109.65 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $54.95 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $91.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $141.25 | $147.91 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $95.50 | $245.47 |
Community Health Options Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $125.89 | $147.91 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $131.83 | $158.49 | $239.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $58.88 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $97.72 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $891.25 Typical High $891.25 | Facility | None | $128.82 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $131.83 | $131.83 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $48.98 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $83.18 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $109.65 | $158.49 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $61.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $97.72 | $190.55 |
8 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 $56.23 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.30 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | CT · Older CT scanner | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | CT · Older CT scanner | $102.33 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $104.71 | $104.71 |
Where Maine sits
The same service costs 20.4 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.
Maine· 34th of 51
$151
VT $1,585UT $77.62
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.