How much rates vary
Facilitymedian $891 · 10th to 90th $158 to $1,413Professionalmedian $182 · 10th to 90th $138 to $316
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 $158.49 Median $158.49 Typical High $891.25 | Facility | None | $158.49 | $158.49 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $48.98 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $109.65 | $204.17 |
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 $128.82 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $128.82 | $181.97 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $53.70 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $125.89 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $173.78 | $181.97 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $53.70 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $125.89 | $309.03 |
Community Health Options Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $158.49 | $190.55 | $269.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $60.26 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $128.82 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $154.88 Median $891.25 Typical High $891.25 | Facility | None | $154.88 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $158.49 | $158.49 | $288.40 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $48.98 | $79.43 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $109.65 | $109.65 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $131.83 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $61.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $128.82 | $251.19 |
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 $67.61 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | CT · Older CT scanner | $123.03 | $134.90 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | CT · Older CT scanner | $123.03 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $128.82 | $128.82 |
Where Maine sits
The same service costs 4.9 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· 37th of 51
$182
AK $513UT $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.