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 Professional Modifier None Typical Low $51.29 Median $125.89 Typical High $144.54 | Professional | None | $51.29 | $125.89 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $295.12 | Facility | None | $213.80 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $162.18 | Professional | None | $48.98 | $72.44 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $2,187.76 | Facility | None | $229.09 | $363.08 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $234.42 | Professional | None | $64.57 | $83.18 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $229.09 | Professional | None | $53.70 | $95.50 | $229.09 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $239.88 | Professional | None | $75.86 | $100.00 | $239.88 |
3 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 $25.70 Median $63.10 Typical High $72.44 | Professional | 52 · Reduced service | $25.70 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $10.23 | $25.70 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $41.69 | $102.33 | $102.33 |
Where New Hampshire sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 26th of 51
$95.50
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.