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 Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $60.26 | Facility | None | $33.88 | $33.88 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.88 Typical High $100.00 | Professional | None (both parts) | $25.70 | $33.88 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $21.38 | Professional | 26 · Professional part | $6.46 | $8.32 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $77.62 | Professional | TC · Technical part | $19.05 | $25.12 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $234.42 | Facility | None | $169.82 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $37.15 | $53.70 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $12.02 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $41.69 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $524.81 | Facility | None | $141.25 | $204.17 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $40.74 | $53.70 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $11.75 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $91.20 | Professional | TC · Technical part | $31.62 | $41.69 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $61.66 Typical High $134.90 | Professional | None (both parts) | $37.15 | $61.66 | $134.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $9.12 | $13.80 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $93.33 | Professional | TC · Technical part | $31.62 | $48.98 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $33.88 | $48.98 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $11.75 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $38.90 | $67.61 |
3 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 $16.98 Typical High $26.30 | Professional | 52 · Reduced service | $12.88 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.76 Typical High $10.72 | Professional | 53 · Discontinued | $5.13 | $6.76 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $26.92 Typical High $28.84 | Professional | FX · Film X-ray | $20.42 | $26.92 | $28.84 |
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· 15th of 51
$53.70
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.