How much rates vary
Facilitymedian $135 · 10th to 90th $98 to $229Professionalmedian $51 · 10th to 90th $38 to $83
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 $30.90 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $30.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $6.31 | $8.71 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $229.09 | Facility | None | $97.72 | $134.90 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $36.31 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $11.22 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $32.36 | $47.86 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $44.67 | $47.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $10.00 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $29.51 | $38.02 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $39.81 | $53.70 | $83.18 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $9.12 | $11.48 | $15.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $31.62 | $42.66 | $67.61 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $38.02 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $7.94 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $29.51 | $35.48 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $36.31 | $48.98 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $11.48 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $67.61 | Professional | TC · Technical part | $28.84 | $38.02 | $67.61 |
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 $15.14 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $15.14 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.17 | $8.91 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $30.20 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $8.91 | $8.91 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $30.20 | $35.48 | $35.48 |
Where Maine sits
The same service costs 3.6 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· 17th of 51
$52.48
AK $115UT $31.62
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.