How much rates vary
Facilitymedian $132 · 10th to 90th $93 to $219Professionalmedian $48 · 10th to 90th $37 to $74
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 $33.88 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $7.76 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $25.70 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $218.78 | Facility | None | $93.33 | $131.83 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $37.15 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $12.30 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $81.28 Typical High $109.65 | Professional | 50 · Both sides | $56.23 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $39.81 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $45.71 | $47.86 | $87.10 |
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 $29.51 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $37.15 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $37.15 | $47.86 | $75.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $12.59 | $16.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $37.15 | $57.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $35.48 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $8.71 | $10.47 | $10.47 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $26.92 | $30.90 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $75.86 | Professional | None (both parts) | $33.88 | $45.71 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $12.88 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $33.11 | $60.26 |
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 $13.49 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $13.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.37 | $8.32 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $28.84 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $28.84 | $33.11 | $33.11 |
Where Maine sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 18th of 51
$47.86
AK $112FL $28.84
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.