How much rates vary
Facilitymedian $105 · 10th to 90th $40 to $219Professionalmedian $45 · 10th to 90th $36 to $71
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $34.67 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $11.48 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $28.84 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $218.78 | Facility | None | $93.33 | $131.83 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $35.48 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $12.30 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $36.31 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $44.67 | $45.71 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.22 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $11.22 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $33.88 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $39.81 | $48.98 | $72.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $14.79 | $21.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $34.67 | $52.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $36.31 | $39.81 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $11.48 | $14.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $25.70 | $28.84 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $33.11 | $48.98 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $16.98 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $30.90 | $54.95 |
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 $14.13 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $30.20 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $27.54 | $32.36 | $32.36 |
Where Maine sits
The same service costs 3.6 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· 25th of 51
$44.67
AK $105FL $28.84
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.