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 Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $416.87 | Facility | None | $239.88 | $288.40 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $177.83 | $288.40 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $52.48 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $234.42 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $42.66 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,047.13 | Facility | None | $741.31 | $1,023.29 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $165.96 | $354.81 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $114.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $112.20 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,096.48 Typical High $1,905.46 | Facility | None | $302.00 | $1,096.48 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $707.95 | Professional | None (both parts) | $223.87 | $269.15 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $79.43 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $194.98 | $524.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $181.97 | $302.00 | $602.56 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $58.88 | $91.20 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $125.89 | $204.17 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $245.47 | $302.00 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $223.87 | $426.58 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | TC · Technical part | $89.13 | $89.13 | $104.71 |
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 $89.13 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $89.13 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $35.48 | $57.54 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $245.47 Typical High $288.40 | Professional | CT · Older CT scanner | $151.36 | $245.47 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $229.09 Typical High $275.42 | Professional | FX · Film X-ray | $144.54 | $229.09 | $275.42 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $537.03 Typical High $933.25 | Professional | 50 · Both sides | $251.19 | $537.03 | $933.25 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$339
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.