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 $316.23 Typical High $436.52 | Facility | None | $316.23 | $316.23 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $181.97 | $316.23 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $46.77 | $57.54 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $257.04 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $46.77 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $229.09 | $489.78 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $58.88 | $125.89 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $363.08 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $363.08 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,096.48 Typical High $2,041.74 | Facility | None | $346.74 | $1,096.48 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $309.03 | $363.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $275.42 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $251.19 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $251.19 | $416.87 | $758.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $100.00 | $186.21 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $288.40 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $309.03 | $363.08 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $85.11 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $234.42 | $269.15 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
4 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 $91.20 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $91.20 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $74.13 | Professional | 53 · Discontinued | $36.31 | $63.10 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $269.15 Typical High $295.12 | Professional | CT · Older CT scanner | $154.88 | $269.15 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $251.19 Typical High $275.42 | Professional | FX · Film X-ray | $144.54 | $251.19 | $275.42 |
Where New Hampshire sits
The same service costs 4.5 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· 11th of 51
$427
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.