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 $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | None (both parts) | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $204.17 | $204.17 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,754.23 | Facility | None | $1,174.90 | $1,621.81 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $295.12 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $158.49 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $338.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $549.54 | $645.65 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $151.36 Typical High $263.03 | Professional | 26 · Professional part | $138.04 | $151.36 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $812.83 | Professional | TC · Technical part | $398.11 | $501.19 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $549.54 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $549.54 | $691.83 | $977.24 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $141.25 | $169.82 | $234.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $524.81 Typical High $741.31 | Professional | TC · Technical part | $416.87 | $524.81 | $741.31 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $346.74 | $346.74 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $117.49 | $144.54 | $144.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | TC · Technical part | $204.17 | $204.17 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $724.44 Typical High $1,047.13 | Professional | None (both parts) | $501.19 | $724.44 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $123.03 | $177.83 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $549.54 Typical High $831.76 | Professional | TC · Technical part | $380.19 | $549.54 | $831.76 |
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 $288.40 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $269.15 | $281.84 | $281.84 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $288.40 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $269.15 | $281.84 | $281.84 |
Where Maine sits
The same service costs 8.1 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· 21st of 51
$562
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.