How much rates vary
Facilitymedian $302 · 10th to 90th $186 to $661Professionalmedian $214 · 10th to 90th $117 to $398
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 $186.21 Typical High $302.00 | Facility | None | $165.96 | $186.21 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $91.20 | $186.21 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $40.74 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $58.88 | $147.91 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $660.69 | Facility | None | $478.63 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $107.15 | $229.09 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $67.61 | $144.54 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $602.56 Typical High $1,348.96 | Facility | None | $239.88 | $602.56 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $141.25 | $165.96 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $57.54 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $331.13 | Professional | TC · Technical part | $91.20 | $107.15 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $117.49 | $190.55 | $371.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $66.07 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $120.23 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $144.54 | $199.53 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $114.82 | $204.17 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
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 $45.71 Median $93.33 Typical High $173.78 | Professional | 52 · Reduced service | $45.71 | $93.33 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $37.15 Typical High $69.18 | Professional | 53 · Discontinued | $18.20 | $37.15 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $77.62 Median $158.49 Typical High $162.18 | Professional | CT · Older CT scanner | $77.62 | $158.49 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $147.91 Typical High $151.36 | Professional | FX · Film X-ray | $72.44 | $147.91 | $151.36 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$219
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.