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 $234.42 Median $234.42 Typical High $323.59 | Facility | None | $234.42 | $234.42 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $109.65 | $234.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $31.62 | $51.29 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $79.43 | $186.21 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $316.23 | Professional | None (both parts) | $89.13 | $89.13 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $31.62 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $812.83 | Facility | None | $575.44 | $794.33 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $89.13 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $39.81 | $85.11 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $190.55 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $660.69 Typical High $1,513.56 | Facility | None | $257.04 | $660.69 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $173.78 | $204.17 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $60.26 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $141.25 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $141.25 | $234.42 | $446.68 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $67.61 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $158.49 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $173.78 | $239.88 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $151.36 | $263.03 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | TC · Technical part | $69.18 | $69.18 | $81.28 |
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 $54.95 Median $117.49 Typical High $186.21 | Professional | 52 · Reduced service | $54.95 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $46.77 Typical High $74.13 | Professional | 53 · Discontinued | $21.88 | $46.77 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $93.33 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $93.33 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $89.13 | $190.55 | $190.55 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$251
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.