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 $346.74 Median $346.74 Typical High $512.86 | Facility | None | $346.74 | $346.74 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $218.78 | $346.74 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $63.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $162.18 | $281.84 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,122.02 | Facility | None | $812.83 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $177.83 | $380.19 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $52.48 | $112.20 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $128.82 | $275.42 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,096.48 Typical High $1,949.84 | Facility | None | $309.03 | $1,096.48 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $245.47 | $295.12 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $81.28 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $616.60 | Professional | TC · Technical part | $177.83 | $239.88 | $616.60 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $199.53 | $331.13 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $57.54 | $89.13 | $173.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $239.88 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $724.44 | Professional | None (both parts) | $269.15 | $338.84 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $77.62 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $257.04 | $501.19 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $117.49 | Facility | TC · Technical part | $100.00 | $100.00 | $117.49 |
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 $109.65 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $69.18 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $295.12 Typical High $354.81 | Professional | CT · Older CT scanner | $186.21 | $295.12 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $275.42 Typical High $331.13 | Professional | FX · Film X-ray | $173.78 | $275.42 | $331.13 |
Where New Hampshire sits
The same service costs 5.5 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.
New Hampshire· 12th of 51
$380
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.