How much rates vary
Facilitymedian $145 · 10th to 90th $52 to $269Professionalmedian $59 · 10th to 90th $45 to $91
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 $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $43.65 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $36.31 | $61.66 |
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 $46.77 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $46.77 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $17.38 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $46.77 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $107.15 | Professional | None (both parts) | $58.88 | $58.88 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $27.54 | Professional | 26 · Professional part | $15.49 | $15.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $43.65 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $93.33 | Professional | None (both parts) | $50.12 | $58.88 | $93.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $14.79 | $18.20 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $42.66 | $70.79 |
Martin's Point Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $43.65 | $52.48 | $87.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $12.59 | $15.14 | $23.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $36.31 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $42.66 | $56.23 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $19.05 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $29.51 | $38.02 | $70.79 |
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 $16.22 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $16.22 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.46 | $10.47 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $34.67 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.71 | $10.47 | $10.47 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $34.67 | $41.69 | $41.69 |
Where Maine sits
The same service costs 4.2 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· 18th of 51
$58.88
AK $138UT $33.11
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.