How much rates vary
Facilitymedian $162 · 10th to 90th $29 to $257Professionalmedian $47 · 10th to 90th $29 to $93
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 $28.84 Median $28.84 Typical High $51.29 | Facility | None | $28.84 | $28.84 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.84 Typical High $83.18 | Professional | None (both parts) | $21.38 | $28.84 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $21.88 | Professional | 26 · Professional part | $6.17 | $8.32 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $61.66 | Professional | TC · Technical part | $15.14 | $20.89 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $26.92 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $204.17 | Facility | None | $147.91 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $32.36 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $12.59 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $34.67 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $524.81 | Facility | None | $112.20 | $169.82 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $36.31 | $46.77 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $25.12 | Professional | 26 · Professional part | $10.47 | $12.30 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $34.67 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $31.62 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $31.62 | $54.95 | $117.49 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $9.55 | $14.45 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $26.30 | $39.81 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $30.20 | $41.69 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $31.62 | $53.70 |
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 52 · Reduced service Typical Low $10.72 Median $14.45 Typical High $22.39 | Professional | 52 · Reduced service | $10.72 | $14.45 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.75 Typical High $8.91 | Professional | 53 · Discontinued | $4.27 | $5.75 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $23.44 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $23.44 | $24.55 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $70.79 Typical High $125.89 | Professional | 50 · Both sides | $48.98 | $70.79 | $125.89 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$46.77
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.