How much rates vary
Facilitymedian $589 · 10th to 90th $229 to $813Professionalmedian $269 · 10th to 90th $145 to $490
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 $229.09 Median $229.09 Typical High $331.13 | Facility | None | $229.09 | $229.09 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $134.90 | $229.09 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $46.77 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $97.72 | $186.21 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $812.83 | Facility | None | $588.84 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $128.82 | $275.42 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $100.00 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $177.83 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,548.82 | Facility | None | $263.03 | $660.69 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $173.78 | $213.80 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $69.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $154.88 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $144.54 | $239.88 | $467.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $79.43 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $154.88 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $194.98 | $251.19 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $67.61 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $125.89 | $169.82 | $316.23 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $77.62 | Facility | TC · Technical part | $64.57 | $64.57 | $77.62 |
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 $67.61 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $67.61 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $26.92 | $45.71 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $114.82 Median $194.98 Typical High $208.93 | Professional | CT · Older CT scanner | $114.82 | $194.98 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $186.21 Typical High $194.98 | Professional | FX · Film X-ray | $107.15 | $186.21 | $194.98 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $416.87 Typical High $724.44 | Professional | 50 · Both sides | $194.98 | $416.87 | $724.44 |
Where New Hampshire sits
The same service costs 5.8 times more in Vermont 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· 12th of 51
$275
VT $603UT $105
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.