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 Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $89.13 | Facility | None | $48.98 | $48.98 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $138.04 | Professional | None (both parts) | $37.15 | $48.98 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $12.02 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $37.15 Typical High $109.65 | Professional | TC · Technical part | $27.54 | $37.15 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $338.84 | Facility | None | $239.88 | $331.13 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $53.70 | $77.62 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $16.22 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $41.69 | $60.26 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $524.81 | Facility | None | $194.98 | $288.40 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $162.18 | Professional | None (both parts) | $57.54 | $75.86 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $16.22 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $125.89 | Professional | TC · Technical part | $48.98 | $61.66 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $57.54 | $91.20 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $12.59 | $19.50 | $36.31 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $69.18 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $52.48 | $70.79 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $33.11 | Professional | 26 · Professional part | $12.88 | $16.60 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $54.95 | $95.50 |
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 $18.62 Median $24.55 Typical High $37.15 | Professional | 52 · Reduced service | $18.62 | $24.55 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.77 Typical High $15.14 | Professional | 53 · Discontinued | $7.41 | $9.77 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $29.51 | $38.90 | $40.74 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$77.62
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.