How much rates vary
Facilitymedian $603 · 10th to 90th $407 to $1,778Professionalmedian $562 · 10th to 90th $309 to $977
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 $407.38 Median $407.38 Typical High $588.84 | Facility | None | $407.38 | $407.38 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $234.42 | $407.38 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $70.79 | $87.10 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $323.59 | $588.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $67.61 | $67.61 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,258.93 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $562.34 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $177.83 Typical High $309.03 | Professional | 26 · Professional part | $83.18 | $177.83 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $380.19 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $380.19 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,445.44 Typical High $3,311.31 | Facility | None | $602.56 | $1,445.44 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $1,202.26 | Professional | None (both parts) | $371.54 | $436.52 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $125.89 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $851.14 | Professional | TC · Technical part | $269.15 | $309.03 | $851.14 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $309.03 | $512.86 | $933.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $269.15 | Professional | 26 · Professional part | $91.20 | $141.25 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $218.78 | $354.81 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $380.19 | $489.78 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $123.03 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $269.15 | $338.84 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
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 $117.49 Median $204.17 Typical High $223.87 | Professional | 52 · Reduced service | $117.49 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $46.77 | $81.28 | $91.20 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $346.74 Typical High $380.19 | Professional | CT · Older CT scanner | $199.53 | $346.74 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $331.13 Typical High $363.08 | Professional | FX · Film X-ray | $190.55 | $331.13 | $363.08 |
Where New Hampshire 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.
New Hampshire· 9th of 51
$562
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.