How much rates vary
Facilitymedian $891 · 10th to 90th $178 to $1,413Professionalmedian $191 · 10th to 90th $148 to $339
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 $177.83 Median $177.83 Typical High $891.25 | Facility | None | $177.83 | $177.83 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $162.18 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $57.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $120.23 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,819.70 | Facility | None | $776.25 | $1,071.52 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $131.83 | $186.21 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $120.23 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $173.78 | $181.97 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $60.26 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $316.23 | Professional | TC · Technical part | $112.20 | $117.49 | $316.23 |
Community Health Options Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $162.18 | $229.09 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $69.18 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $158.49 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $891.25 Typical High $891.25 | Facility | None | $162.18 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $162.18 | $177.83 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $57.54 | $93.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $120.23 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $144.54 | $245.47 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $70.79 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $173.78 | $251.19 |
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 $67.61 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $67.61 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $26.92 | $35.48 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | CT · Older CT scanner | $125.89 | $151.36 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $117.49 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $67.61 | $89.13 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $26.92 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | CT · Older CT scanner | $125.89 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $117.49 | $141.25 | $141.25 |
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· 31st of 51
$200
AK $525UT $100
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.