How much rates vary
Facilitymedian $1,230 · 10th to 90th $891 to $2,138Professionalmedian $347 · 10th to 90th $263 to $575
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 $275.42 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $275.42 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $54.95 | $69.18 | $69.18 |
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 $1,348.96 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 $239.88 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $239.88 | $338.84 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $75.86 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $251.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $346.74 | $363.08 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $74.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $281.84 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $302.00 | $371.54 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $83.18 | $114.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $288.40 | $407.38 |
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 $275.42 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $275.42 | $275.42 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $54.95 | $69.18 | $69.18 |
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 $263.03 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $263.03 | $380.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $87.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $288.40 | $446.68 |
9 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 $123.03 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $123.03 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $54.95 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $501.19 Typical High $758.58 | Professional | 50 · Both sides | $363.08 | $501.19 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $138.04 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $54.95 | $56.23 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $229.09 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Maine sits
The same service costs 5.0 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· 27th of 51
$347
AK $891UT $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.