How much rates vary
Facilitymedian $891 · 10th to 90th $309 to $2,188Professionalmedian $372 · 10th to 90th $302 to $646
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 $309.03 Median $309.03 Typical High $891.25 | Facility | None | $309.03 | $309.03 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $309.03 | $331.13 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $100.00 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $239.88 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,949.84 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $269.15 | $371.54 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $109.65 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $245.47 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $371.54 | $389.05 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $107.15 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $281.84 | $707.95 |
Community Health Options Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $302.00 | $398.11 | $575.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $120.23 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $275.42 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $309.03 Median $891.25 Typical High $891.25 | Facility | None | $309.03 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $309.03 | $338.84 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $100.00 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $245.47 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $275.42 | $398.11 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $125.89 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $275.42 | $537.03 |
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 $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | CT · Older CT scanner | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $239.88 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | CT · Older CT scanner | $257.04 | $263.03 | $263.03 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $239.88 | $245.47 | $245.47 |
Where Maine 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.
Maine· 32nd of 51
$372
AK $1,000UT $170
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.