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 $371.54 Median $371.54 Typical High $891.25 | Facility | None | $371.54 | $371.54 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $338.84 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $104.71 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $269.15 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,445.44 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $309.03 | $436.52 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $114.82 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $407.38 | $416.87 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $112.20 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $295.12 | $309.03 | $501.19 |
Community Health Options Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $354.81 | $407.38 | $588.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $371.54 | $426.58 | $630.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $104.71 | $123.03 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $263.03 | $309.03 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $891.25 | Facility | None | $363.08 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $346.74 | $371.54 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $104.71 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $269.15 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $309.03 | $426.58 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $295.12 | $501.19 |
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 CT · Older CT scanner Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | CT · Older CT scanner | $269.15 | $316.23 | $316.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $257.04 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | CT · Older CT scanner | $269.15 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $257.04 | $302.00 | $302.00 |
Where Maine sits
The same service costs 15.8 times more in Vermont 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· 22nd 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.