How much rates vary
Facilitymedian $158 · 10th to 90th $115 to $269Professionalmedian $76 · 10th to 90th $58 to $117
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 $40.74 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $40.74 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $13.18 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $269.15 | Facility | None | $114.82 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $117.49 | Professional | None (both parts) | $57.54 | $85.11 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $23.99 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $38.90 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $69.18 | $75.86 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $21.38 | $21.38 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $54.95 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $58.88 | $75.86 | $117.49 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $23.99 | $32.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $38.90 | $54.95 | $85.11 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $46.77 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $16.60 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $30.20 | $43.65 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $53.70 | $69.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $25.12 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $35.48 | $44.67 | $91.20 |
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 $20.42 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $20.42 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $8.13 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $37.15 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $23.44 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $9.33 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $37.15 | $51.29 | $51.29 |
Where Maine sits
The same service costs 5.6 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· 17th of 51
$75.86
AK $182UT $32.36
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.