How much rates vary
Facilitymedian $891 · 10th to 90th $224 to $1,660Professionalmedian $251 · 10th to 90th $191 to $407
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 $223.87 Median $223.87 Typical High $891.25 | Facility | None | $223.87 | $223.87 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $208.93 | $223.87 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $66.07 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $154.88 | $257.04 |
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 $169.82 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $169.82 | $239.88 | $354.81 |
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 $112.20 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $162.18 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $223.87 | $234.42 | $524.81 |
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 $154.88 Median $162.18 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $162.18 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $204.17 | $288.40 | $398.11 |
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 $138.04 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $208.93 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $891.25 Typical High $891.25 | Facility | None | $223.87 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $208.93 | $223.87 | $338.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $66.07 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $144.54 | $154.88 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $181.97 | $309.03 | $416.87 |
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 $125.89 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $125.89 | $223.87 | $331.13 |
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 $89.13 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $44.67 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $151.36 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $354.81 Typical High $537.03 | Professional | 50 · Both sides | $257.04 | $354.81 | $537.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $162.18 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $151.36 | $177.83 | $177.83 |
Where Maine sits
The same service costs 5.4 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· 31st of 51
$257
AK $676UT $126
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.