How much rates vary
Facilitymedian $389 · 10th to 90th $229 to $832Professionalmedian $275 · 10th to 90th $145 to $501
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 $204.17 Median $229.09 Typical High $389.05 | Facility | None | $204.17 | $229.09 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $134.90 | $229.09 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $46.77 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $186.21 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $109.65 | $109.65 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $39.81 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $831.76 | Facility | None | $588.84 | $812.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $131.83 | $281.84 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $48.98 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $177.83 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $660.69 Typical High $1,737.80 | Facility | None | $302.00 | $660.69 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $177.83 | $208.93 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $74.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $407.38 | Professional | TC · Technical part | $112.20 | $138.04 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $144.54 | $245.47 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $53.70 | $85.11 | $154.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $151.36 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $199.53 | $263.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $77.62 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $158.49 | $309.03 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
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 $67.61 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $67.61 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $26.92 | $45.71 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $194.98 Typical High $208.93 | Professional | CT · Older CT scanner | $114.82 | $194.98 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $186.21 Typical High $194.98 | Professional | FX · Film X-ray | $107.15 | $186.21 | $194.98 |
Where New Hampshire sits
The same service costs 6.2 times more in Vermont 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· 10th of 51
$282
VT $617UT $100
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.