How much rates vary
Facilitymedian $891 · 10th to 90th $275 to $1,660Professionalmedian $309 · 10th to 90th $245 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 $275.42 Median $275.42 Typical High $891.25 | Facility | None | $275.42 | $275.42 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $269.15 | $275.42 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $66.07 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $204.17 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,445.44 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $229.09 | $323.59 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $72.44 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $234.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $316.23 | $316.23 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $70.79 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $245.47 | $446.68 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $269.15 | $323.59 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $79.43 | $109.65 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $245.47 | $371.54 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $891.25 Typical High $891.25 | Facility | None | $281.84 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $275.42 | $275.42 | $457.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $66.07 | $107.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $204.17 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $229.09 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $83.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $223.87 | $398.11 |
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 $117.49 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | CT · Older CT scanner | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $186.21 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | CT · Older CT scanner | $199.53 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $186.21 | $218.78 | $218.78 |
Where Maine sits
The same service costs 4.4 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· 26th of 51
$316
AK $776UT $178
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.