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 $30.90 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $30.90 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $10.23 | Professional | 26 · Professional part | $6.31 | $8.71 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $31.62 | Professional | TC · Technical part | $24.55 | $29.51 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $269.15 | Facility | None | $190.55 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $107.15 | Professional | None (both parts) | $42.66 | $61.66 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.48 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $50.12 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $1,412.54 | Facility | None | $151.36 | $239.88 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $123.03 | Professional | None (both parts) | $41.69 | $57.54 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $100.00 | Professional | TC · Technical part | $33.11 | $46.77 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $44.67 Median $70.79 Typical High $154.88 | Professional | None (both parts) | $44.67 | $70.79 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $13.49 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $57.54 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $33.11 | $53.70 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $10.47 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $45.71 | $77.62 |
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 $15.14 Median $19.05 Typical High $26.92 | Professional | 52 · Reduced service | $15.14 | $19.05 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.59 Typical High $10.72 | Professional | 53 · Discontinued | $6.17 | $7.59 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $30.20 | $30.20 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$61.66
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.