How much rates vary
Facilitymedian $100 · 10th to 90th $41 to $214Professionalmedian $47 · 10th to 90th $34 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 Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $33.88 | $40.74 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $10.00 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $30.90 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $208.93 | Facility | None | $89.13 | $123.03 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $32.36 | $50.12 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $11.48 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $40.74 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $44.67 | $47.86 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $10.23 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $28.84 | $37.15 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $37.15 | $46.77 | $74.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $12.02 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $36.31 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $33.88 | $40.74 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $10.00 | $16.60 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $30.90 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $33.88 | $43.65 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $12.59 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $31.62 | $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 $12.88 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $12.88 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $26.92 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $16.98 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $26.92 | $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· 20th of 51
$46.77
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.