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 $120.23 Median $120.23 Typical High $891.25 | Facility | None | $120.23 | $120.23 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $75.86 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $33.11 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $87.10 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $416.87 | Facility | None | $177.83 | $245.47 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $89.13 | $131.83 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $36.31 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $93.33 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $104.71 | $131.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $35.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $97.72 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $107.15 | $141.25 | $208.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $39.81 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $102.33 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $123.03 Median $891.25 Typical High $891.25 | Facility | None | $123.03 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $75.86 | $120.23 | $186.21 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $33.11 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $48.98 | $87.10 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $97.72 | $134.90 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $40.74 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $95.50 | $158.49 |
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 $58.88 Median $102.33 Typical High $102.33 | Professional | CT · Older CT scanner | $58.88 | $102.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $54.95 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $58.88 Median $102.33 Typical High $102.33 | Professional | CT · Older CT scanner | $58.88 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $54.95 | $95.50 | $95.50 |
Where Maine sits
The same service costs 4.2 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· 20th of 51
$132
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.