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 (both parts) Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $26.92 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $6.76 | $8.91 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $29.51 | Professional | TC · Technical part | $19.95 | $26.92 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $245.47 | Facility | None | $173.78 | $239.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $38.90 | $56.23 | $97.72 |
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 $30.20 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $43.65 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $645.65 | Facility | None | $141.25 | $208.93 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $42.66 | $54.95 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $12.30 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $35.48 | $43.65 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.90 Median $64.57 Typical High $138.04 | Professional | None (both parts) | $38.90 | $64.57 | $138.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $9.55 | $14.45 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $50.12 Typical High $95.50 | Professional | TC · Technical part | $33.11 | $50.12 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $37.15 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $12.30 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $28.84 | $38.90 | $67.61 |
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 $13.49 Median $17.78 Typical High $26.30 | Professional | 52 · Reduced service | $13.49 | $17.78 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.08 Typical High $10.72 | Professional | 53 · Discontinued | $5.37 | $7.08 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $28.84 Typical High $30.20 | Professional | FX · Film X-ray | $21.38 | $28.84 | $30.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $83.18 Typical High $147.91 | Professional | 50 · Both sides | $57.54 | $83.18 | $147.91 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$56.23
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.