How much rates vary
Facilitymedian $891 · 10th to 90th $309 to $2,188Professionalmedian $389 · 10th to 90th $309 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 $346.74 Typical High $562.34 | Professional | None (both parts) | $309.03 | $346.74 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $104.71 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $251.19 | $389.05 |
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 $380.19 Typical High $562.34 | Professional | None (both parts) | $269.15 | $380.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $114.82 | $177.83 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $398.11 Typical High $812.83 | Professional | None (both parts) | $380.19 | $398.11 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $107.15 | $109.65 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $269.15 | $281.84 | $630.96 |
Community Health Options Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $338.84 | $407.38 | $588.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $102.33 | $123.03 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $281.84 | $478.63 |
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 $346.74 Typical High $616.60 | Professional | None (both parts) | $309.03 | $346.74 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $104.71 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $251.19 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $281.84 | $407.38 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $275.42 | $549.54 |
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 $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $245.47 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $245.47 | $245.47 | $245.47 |
Where Maine sits
The same service costs 12.3 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· 30th of 51
$389
VT $2,089UT $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.