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 $363.08 Median $457.09 Typical High $467.74 | Facility | None | $363.08 | $457.09 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $162.18 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $64.57 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $302.00 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Facility | None | $831.76 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $181.97 | $389.05 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $125.89 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $125.89 | $269.15 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $977.24 Typical High $2,238.72 | Facility | None | $363.08 | $977.24 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $251.19 | $295.12 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $89.13 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $575.44 | Professional | TC · Technical part | $173.78 | $204.17 | $575.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $204.17 | $338.84 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $100.00 | $186.21 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $223.87 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $257.04 | $331.13 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $85.11 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $223.87 | $380.19 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $117.49 | Facility | TC · Technical part | $97.72 | $97.72 | $117.49 |
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 $81.28 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $81.28 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $32.36 | $72.44 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $309.03 Typical High $309.03 | Professional | CT · Older CT scanner | $138.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $288.40 Typical High $288.40 | Professional | FX · Film X-ray | $128.82 | $288.40 | $288.40 |
Where New Hampshire 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.
New Hampshire· 7th of 51
$389
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.