How much rates vary
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 Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $218.78 | $363.08 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $54.95 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $309.03 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,096.48 | $1,513.56 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $234.42 | $501.19 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $56.23 | $120.23 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $177.83 | $380.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $2,238.72 | Facility | None | $371.54 | $1,096.48 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $331.13 | $398.11 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $83.18 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $309.03 | $776.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $269.15 | $436.52 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $95.50 | $173.78 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $338.84 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $346.74 | $407.38 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $275.42 | $323.59 | $588.84 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $154.88 | Facility | TC · Technical part | $131.83 | $131.83 | $154.88 |
5 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 $109.65 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $44.67 | $72.44 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $309.03 Typical High $354.81 | Professional | CT · Older CT scanner | $186.21 | $309.03 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $288.40 Typical High $331.13 | Professional | FX · Film X-ray | $177.83 | $288.40 | $331.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $758.58 Typical High $1,380.38 | Professional | 50 · Both sides | $354.81 | $758.58 | $1,380.38 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$479
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.