How much rates vary
Facilitymedian $135 · 10th to 90th $50 to $282Professionalmedian $56 · 10th to 90th $45 to $87
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $42.66 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $16.60 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $33.11 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $281.84 | Facility | None | $120.23 | $169.82 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $43.65 | $63.10 | $85.11 |
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 $30.90 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $30.90 | $44.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $56.23 | $57.54 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $17.38 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $39.81 | $72.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $50.12 | $61.66 | $89.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $21.38 | $30.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $41.69 | $63.10 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $42.66 | $50.12 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $16.60 | $21.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $33.11 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $41.69 | $61.66 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $23.44 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $37.15 | $63.10 |
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 $17.78 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $17.78 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $7.08 | $10.00 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | FX · Film X-ray | $38.02 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $22.91 | $25.12 | $25.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $9.12 | $10.00 | $10.00 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | FX · Film X-ray | $34.67 | $39.81 | $39.81 |
Where Maine sits
The same service costs 4.0 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· 24th of 51
$56.23
AK $132UT $33.11
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.