How much rates vary
Facilitymedian $891 · 10th to 90th $200 to $1,413Professionalmedian $234 · 10th to 90th $182 to $407
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 $199.53 Typical High $891.25 | Facility | None | $199.53 | $199.53 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $194.98 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $72.44 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $125.89 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,819.70 | Facility | None | $776.25 | $1,071.52 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $162.18 | $229.09 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $79.43 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $141.25 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $213.80 | $223.87 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $141.25 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $190.55 | $275.42 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $85.11 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $190.55 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $891.25 Typical High $891.25 | Facility | None | $199.53 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $194.98 | $199.53 | $316.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $72.44 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $125.89 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $190.55 | $316.23 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $208.93 | $316.23 |
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 $83.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
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 $144.54 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $144.54 | $158.49 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $144.54 | $158.49 | $158.49 |
Where Maine sits
The same service costs 6.2 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.
Maine· 32nd of 51
$234
AK $646UT $105
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.