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 $316.23 Median $891.25 Typical High $891.25 | Facility | None | $316.23 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $316.23 | $389.05 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $107.15 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $245.47 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,905.46 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $275.42 | $380.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $117.49 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $257.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $436.52 | $457.09 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $114.82 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $323.59 | $338.84 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $398.11 | $478.63 | $676.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $128.82 | $177.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $288.40 | $346.74 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $891.25 Typical High $891.25 | Facility | None | $316.23 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $316.23 | $398.11 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $107.15 | $147.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $295.12 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $331.13 | $478.63 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $134.90 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $346.74 | $549.54 |
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 $138.04 Median $158.49 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $63.10 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | CT · Older CT scanner | $263.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $245.47 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $575.44 Typical High $851.14 | Professional | 50 · Both sides | $446.68 | $575.44 | $851.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $158.49 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $63.10 | $64.57 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | CT · Older CT scanner | $263.03 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $245.47 | $251.19 | $251.19 |
Where Maine sits
The same service costs 6.2 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· 25th of 51
$437
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.