How much rates vary
Facilitymedian $891 · 10th to 90th $776 to $1,413Professionalmedian $214 · 10th to 90th $166 to $347
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 $891.25 Typical High $891.25 | Facility | None | $186.21 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $181.97 | $186.21 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $74.13 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $114.82 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,819.70 | Facility | None | $776.25 | $1,071.52 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $151.36 | $213.80 | $316.23 |
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 $91.20 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $125.89 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $204.17 | $213.80 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $128.82 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $186.21 | $245.47 | $338.84 |
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 $109.65 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $158.49 | $223.87 |
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 $181.97 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $181.97 | $186.21 | $302.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $74.13 | $117.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $114.82 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $154.88 | $263.03 | $346.74 |
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 $91.20 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $169.82 | $263.03 |
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 $77.62 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | CT · Older CT scanner | $144.54 | $158.49 | $158.49 |
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 $77.62 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | CT · Older CT scanner | $144.54 | $158.49 | $158.49 |
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 5.8 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· 30th of 51
$224
AK $603UT $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.