How much rates vary
Facilitymedian $891 · 10th to 90th $282 to $2,089Professionalmedian $316 · 10th to 90th $240 to $513
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 $281.84 Median $891.25 Typical High $891.25 | Facility | None | $281.84 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $269.15 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $93.33 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $186.21 | $186.21 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,090.30 | Facility | None | $1,318.26 | $1,819.70 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $239.88 | $316.23 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $204.17 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $302.00 | $316.23 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $97.72 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $467.74 | Professional | TC · Technical part | $204.17 | $213.80 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $269.15 | $354.81 | $489.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $104.71 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $257.04 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $891.25 Typical High $891.25 | Facility | None | $281.84 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $269.15 | $281.84 | $416.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $67.61 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $186.21 | $186.21 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $501.19 | Professional | None (both parts) | $229.09 | $380.19 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $104.71 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $151.36 | $275.42 | $407.38 |
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 $114.82 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $56.23 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $213.80 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $223.87 | $223.87 |
Where Maine sits
The same service costs 6.3 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· 29th of 51
$324
AK $851UT $135
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.