How much rates vary
Facilitymedian $115 · 10th to 90th $83 to $195Professionalmedian $40 · 10th to 90th $31 to $63
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 $28.18 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $28.18 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $10.00 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $25.12 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $194.98 | Facility | None | $83.18 | $114.82 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $29.51 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $8.32 | $12.02 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $33.88 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $39.81 | $40.74 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $10.47 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $30.20 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $31.62 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $31.62 | $40.74 | $63.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $12.02 | $16.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $30.20 | $48.98 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $30.90 | $34.67 | $60.26 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $10.00 | $13.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $25.12 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $28.84 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $12.59 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $27.54 | $48.98 |
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 $11.75 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $11.75 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.68 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.92 | $6.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $28.18 | $28.18 |
Where Maine sits
The same service costs 3.5 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· 22nd of 51
$40.74
AK $87.10FL $25.12
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.