How much rates vary
Facilitymedian $83 · 10th to 90th $35 to $178Professionalmedian $40 · 10th to 90th $30 to $66
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 $34.67 Median $34.67 Typical High $39.81 | Facility | None | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $28.84 | $34.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $9.55 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $25.12 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $177.83 | Facility | None | $75.86 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $61.66 | Professional | None (both parts) | $31.62 | $46.77 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $12.02 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $38.02 | $39.81 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $10.72 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $29.51 | $56.23 |
Community Health Options Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $33.88 | $40.74 | $63.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $12.02 | $16.60 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $30.20 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $34.67 Median $39.81 Typical High $4,677.35 | Facility | None | $34.67 | $39.81 | $4,677.35 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $29.51 | $34.67 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $9.55 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $25.12 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $63.10 | Professional | None (both parts) | $28.84 | $38.02 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $25.70 | $47.86 |
7 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 $10.72 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $10.72 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.27 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $47.86 Median $69.18 Typical High $93.33 | Professional | 50 · Both sides | $47.86 | $69.18 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $14.45 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $5.75 | $6.92 | $6.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $28.18 | $28.18 |
Where Maine sits
The same service costs 4.1 times more in Alaska than in New York. 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· 22nd of 51
$39.81
AK $95.50NY $23.44
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.