How much rates vary
Facilitymedian $891 · 10th to 90th $186 to $1,698Professionalmedian $219 · 10th to 90th $170 to $380
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 $186.21 Median $190.55 Typical High $891.25 | Facility | None | $186.21 | $190.55 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $186.21 | $190.55 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $64.57 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $120.23 | $125.89 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,479.11 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $154.88 | $218.78 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $70.79 | $112.20 |
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 $204.17 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $204.17 | $213.80 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $70.79 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $144.54 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $186.21 | $229.09 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $77.62 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $147.91 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $181.97 Median $891.25 Typical High $891.25 | Facility | None | $181.97 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $186.21 | $190.55 | $354.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $64.57 | $109.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $125.89 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $158.49 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $147.91 | $288.40 |
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 $79.43 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | CT · Older CT scanner | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $31.62 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | CT · Older CT scanner | $147.91 | $162.18 | $162.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $151.36 | $151.36 |
Where Maine sits
The same service costs 5.9 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· 35th of 51
$219
AK $617UT $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.