How much rates vary
Facilitymedian $891 · 10th to 90th $891 to $2,138Professionalmedian $282 · 10th to 90th $219 to $479
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 $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $239.88 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $173.78 | $190.55 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,162.28 | Facility | None | $1,348.96 | $1,862.09 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $199.53 | $281.84 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $79.43 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $199.53 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $269.15 | $281.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $199.53 | $478.63 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $245.47 | $338.84 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $87.10 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $257.04 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $239.88 | $263.03 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $61.66 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $173.78 | $190.55 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $218.78 | $371.54 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $91.20 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $275.42 | $416.87 |
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 $107.15 Median $131.83 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $52.48 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $190.55 | $223.87 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $181.97 | $208.93 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $190.55 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $181.97 | $208.93 | $208.93 |
Where Maine sits
The same service costs 5.2 times more in Alaska 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· 34th of 51
$288
AK $794UT $151
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.