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 $416.87 Median $416.87 Typical High $891.25 | Facility | None | $416.87 | $416.87 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $389.05 | $416.87 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $114.82 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $309.03 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $3,235.94 | Facility | None | $1,412.54 | $1,949.84 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $346.74 | $489.78 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $125.89 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $346.74 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $467.74 | $489.78 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $123.03 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $575.44 | Professional | TC · Technical part | $346.74 | $346.74 | $575.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $416.87 | $489.78 | $707.95 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $190.55 | Professional | 26 · Professional part | $114.82 | $138.04 | $190.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $295.12 | $354.81 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $891.25 | Facility | None | $407.38 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $407.38 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $407.38 | $416.87 | $676.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $114.82 | $173.78 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $309.03 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $346.74 | $478.63 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $144.54 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $245.47 | $338.84 | $562.34 |
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 $309.03 Median $354.81 Typical High $354.81 | Professional | CT · Older CT scanner | $309.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $288.40 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | CT · Older CT scanner | $309.03 | $354.81 | $354.81 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $288.40 | $338.84 | $338.84 |
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· 26th of 51
$468
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.