How much rates vary
Facilitymedian $89 · 10th to 90th $35 to $186Professionalmedian $40 · 10th to 90th $31 to $62
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $27.54 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $11.48 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $23.99 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Facility | None | $79.43 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $31.62 | $44.67 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $13.49 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $30.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $39.81 | $40.74 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $27.54 | $51.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $27.54 | $39.81 | $61.66 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $38.90 | Professional | 26 · Professional part | $11.48 | $15.14 | $38.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $22.39 | $27.54 | $43.65 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $30.90 | $35.48 | $51.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $11.48 | $16.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $23.99 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $29.51 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $14.79 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $19.50 | $25.70 | $45.71 |
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 $11.48 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $11.48 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $24.55 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $24.55 | $28.18 | $28.18 |
Where Maine sits
The same service costs 3.8 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· 21st of 51
$39.81
AK $95.50FL $25.12
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.