How much rates vary
Facilitymedian $891 · 10th to 90th $224 to $1,738Professionalmedian $251 · 10th to 90th $200 to $427
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 $208.93 Median $223.87 Typical High $891.25 | Facility | None | $208.93 | $223.87 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $204.17 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $70.79 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $151.36 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,570.40 | Facility | None | $1,096.48 | $1,513.56 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $177.83 | $245.47 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $77.62 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $162.18 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $223.87 | $234.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $162.18 | $380.19 |
Community Health Options Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $204.17 | $288.40 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $83.18 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $141.25 | $208.93 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $891.25 Typical High $891.25 | Facility | None | $204.17 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $204.17 | $223.87 | $380.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $70.79 | $107.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $151.36 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $186.21 | $309.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $89.13 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $223.87 | $338.84 |
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 $91.20 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $91.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $36.31 | $44.67 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $151.36 | $177.83 | $177.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $162.18 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $151.36 | $177.83 | $177.83 |
Where Maine sits
The same service costs 5.9 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.
Maine· 33rd of 51
$251
VT $741UT $126
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.