How much rates vary
Facilitymedian $204 · 10th to 90th $148 to $347Professionalmedian $269 · 10th to 90th $66 to $490
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 $239.88 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $239.88 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $11.48 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $275.42 | Professional | TC · Technical part | $234.42 | $263.03 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $346.74 | Facility | None | $147.91 | $204.17 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $245.47 | $346.74 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $20.42 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $60.26 | $61.66 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $17.78 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $43.65 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $69.18 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $69.18 | $208.93 | $588.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $28.18 | Professional | 26 · Professional part | $16.98 | $20.42 | $28.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $181.97 Typical High $562.34 | Professional | TC · Technical part | $51.29 | $181.97 | $562.34 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $263.03 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $14.13 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $257.04 | $263.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $229.09 | $457.09 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $14.79 | $21.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $436.52 | $562.34 |
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 $120.23 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $53.70 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $213.80 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $213.80 | $213.80 | $213.80 |
Where Maine sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 3rd of 51
$269
CO $316MI $47.86
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.