How much rates vary
Facilitymedian $162 · 10th to 90th $117 to $275Professionalmedian $59 · 10th to 90th $46 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 Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $39.81 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $16.22 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $36.31 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $275.42 | Facility | None | $117.49 | $162.18 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $47.86 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $25.70 | Professional | 26 · Professional part | $12.88 | $18.62 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $42.66 | $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 $60.26 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $60.26 | $60.26 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $16.60 | $30.20 |
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 $51.29 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $51.29 | $58.88 | $95.50 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $15.85 | $19.05 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $43.65 | $70.79 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $44.67 | $52.48 | $87.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $16.22 | $21.38 |
Martin's Point 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 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $43.65 | $57.54 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $19.95 | $26.92 |
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 $16.60 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $16.60 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $6.61 | $10.47 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $36.31 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $22.39 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.47 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $36.31 | $42.66 | $42.66 |
Where Maine sits
The same service costs 4.1 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· 20th of 51
$58.88
AK $132UT $32.36
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.