How much rates vary
Facilitymedian $891 · 10th to 90th $269 to $2,138Professionalmedian $282 · 10th to 90th $219 to $513
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 $269.15 Median $891.25 Typical High $891.25 | Facility | None | $269.15 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $269.15 | $269.15 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $69.18 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $199.53 | $309.03 |
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 $199.53 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $199.53 | $281.84 | $416.87 |
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 $138.04 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $138.04 | $199.53 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $263.03 | $275.42 | $645.65 |
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 $190.55 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $199.53 | $489.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $239.88 | $346.74 | $478.63 |
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 $173.78 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $263.03 | $371.54 |
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 $269.15 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $269.15 | $269.15 | $436.52 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $69.18 | $89.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $199.53 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $218.78 | $371.54 | $512.86 |
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 $158.49 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $288.40 | $416.87 |
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 $109.65 Median $134.90 Typical High $141.25 | Professional | 52 · Reduced service | $109.65 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $56.23 | Professional | 53 · Discontinued | $43.65 | $53.70 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | CT · Older CT scanner | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $177.83 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $416.87 Typical High $630.96 | Professional | 50 · Both sides | $302.00 | $416.87 | $630.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | CT · Older CT scanner | $190.55 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $177.83 | $213.80 | $213.80 |
Where Maine sits
The same service costs 5.1 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· 33rd of 51
$288
AK $776UT $151
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.