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 $302.00 Median $302.00 Typical High $380.19 | Facility | None | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $131.83 | $302.00 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $58.88 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $91.20 | $239.88 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $67.61 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $954.99 | Facility | None | $676.08 | $933.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $151.36 | $323.59 | $562.34 |
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 $100.00 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $213.80 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $776.25 Typical High $1,905.46 | Facility | None | $302.00 | $776.25 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $204.17 | $239.88 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $79.43 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $162.18 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $125.89 | $269.15 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $89.13 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $181.97 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $208.93 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $173.78 | $302.00 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $91.20 | Facility | TC · Technical part | $77.62 | $77.62 | $91.20 |
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 $66.07 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $66.07 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $60.26 Typical High $74.13 | Professional | 53 · Discontinued | $26.30 | $60.26 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $257.04 Typical High $257.04 | Professional | CT · Older CT scanner | $112.20 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $239.88 Typical High $239.88 | Professional | FX · Film X-ray | $104.71 | $239.88 | $239.88 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$309
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.