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 Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $72.44 | Professional | None (both parts) | $23.44 | $31.62 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.71 Typical High $19.05 | Professional | 26 · Professional part | $6.46 | $8.71 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $16.60 | $22.91 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $204.17 | Facility | None | $144.54 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $32.36 | $46.77 | $81.28 |
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 $23.99 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $34.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $190.55 Typical High $524.81 | Facility | None | $112.20 | $190.55 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $97.72 | Professional | None (both parts) | $39.81 | $46.77 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $12.02 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $34.67 | $72.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $117.49 | Professional | None (both parts) | $34.67 | $53.70 | $117.49 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $9.12 | $14.13 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $26.30 | $39.81 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $33.88 | $42.66 | $77.62 |
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 $25.70 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $31.62 | $56.23 |
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 $11.75 Median $15.85 Typical High $22.39 | Professional | 52 · Reduced service | $11.75 | $15.85 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.31 Typical High $8.91 | Professional | 53 · Discontinued | $4.68 | $6.31 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $18.62 | $25.12 | $25.12 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$46.77
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.