How much rates vary
Facilitymedian $447 · 10th to 90th $295 to $1,047Professionalmedian $347 · 10th to 90th $200 to $631
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 $257.04 Median $295.12 Typical High $446.68 | Facility | None | $257.04 | $295.12 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $181.97 | $295.12 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $56.23 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $239.88 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $138.04 | $138.04 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $43.65 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,047.13 | Facility | None | $741.31 | $1,023.29 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $218.78 | $354.81 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $114.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $112.20 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $933.25 Typical High $2,041.74 | Facility | None | $354.81 | $933.25 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $707.95 | Professional | None (both parts) | $223.87 | $263.03 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $81.28 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $186.21 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $181.97 | $309.03 | $602.56 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $95.50 | $173.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $123.03 | $204.17 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $245.47 | $316.23 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $83.18 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | TC · Technical part | $89.13 | $89.13 | $104.71 |
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 $91.20 Median $147.91 Typical High $186.21 | Professional | 52 · Reduced service | $91.20 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $58.88 Typical High $74.13 | Professional | 53 · Discontinued | $36.31 | $58.88 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $251.19 Typical High $295.12 | Professional | CT · Older CT scanner | $154.88 | $251.19 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $234.42 Typical High $275.42 | Professional | FX · Film X-ray | $144.54 | $234.42 | $275.42 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$355
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.