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 $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $213.80 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $77.62 | Professional | 26 · Professional part | $64.57 | $72.44 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $162.18 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,162.28 | Facility | None | $1,348.96 | $1,862.09 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $181.97 | $263.03 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $79.43 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $169.82 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $630.96 | Professional | None (both parts) | $251.19 | $263.03 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $79.43 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $181.97 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $208.93 | $275.42 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $87.10 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $154.88 | $190.55 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $223.87 | $234.42 | $416.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $64.57 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $162.18 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $190.55 | $281.84 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $91.20 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $190.55 | $363.08 |
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 $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $186.21 | $186.21 |
Where Maine sits
The same service costs 5.1 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· 33rd of 51
$269
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.