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 $616.60 | Professional | None (both parts) | $218.78 | $363.08 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $162.18 | Professional | 26 · Professional part | $44.67 | $56.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $309.03 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,230.27 | Facility | None | $870.96 | $1,202.26 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $194.98 | $416.87 | $724.44 |
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 $138.04 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $295.12 | $512.86 |
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 $263.03 Median $323.59 Typical High $831.76 | Professional | None (both parts) | $263.03 | $323.59 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $81.28 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $251.19 | $660.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $213.80 | $363.08 | $707.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $61.66 | $93.33 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $151.36 | $257.04 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $295.12 | $363.08 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $281.84 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
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 $43.65 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $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 $173.78 Median $295.12 Typical High $331.13 | Professional | FX · Film X-ray | $173.78 | $295.12 | $331.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $630.96 Typical High $1,096.48 | Professional | 50 · Both sides | $295.12 | $630.96 | $1,096.48 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$417
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.