How much rates vary
Facilitymedian $437 · 10th to 90th $316 to $741Professionalmedian $209 · 10th to 90th $158 to $316
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 (both parts) Typical Low $120.23 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $120.23 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $741.31 | Facility | None | $316.23 | $436.52 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $158.49 | $229.09 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $144.54 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $204.17 | $213.80 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $144.54 | $245.47 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $165.96 | $208.93 | $331.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $66.07 | $81.28 | $112.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $131.83 | $213.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $147.91 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $154.88 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $87.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $123.03 | $229.09 |
6 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 $60.26 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $23.99 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $147.91 | $147.91 |
Where Maine sits
The same service costs 4.3 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· 16th of 51
$214
AK $513UT $120
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.