How much rates vary
Facilitymedian $151 · 10th to 90th $59 to $316Professionalmedian $66 · 10th to 90th $49 to $102
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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $43.65 | $58.88 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $14.13 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $44.67 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $316.23 | Facility | None | $134.90 | $186.21 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $53.70 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $15.85 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $57.54 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $63.10 | $66.07 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $14.13 | $14.13 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $52.48 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $52.48 | $66.07 | $104.71 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $16.98 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $40.74 | $52.48 | $81.28 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $48.98 | $58.88 | $95.50 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $14.13 | $21.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $44.67 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $47.86 | $63.10 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $17.78 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $45.71 | $85.11 |
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 $18.62 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $18.62 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $7.41 | $11.75 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $9.77 | $11.75 | $11.75 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $46.77 | $46.77 |
Where Maine sits
The same service costs 4.5 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· 18th of 51
$66.07
AK $148UT $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.