How much rates vary
Facilitymedian $1,096 · 10th to 90th $708 to $2,188Professionalmedian $437 · 10th to 90th $295 to $708
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 $707.95 Median $1,096.48 Typical High $1,096.48 | Facility | None | $707.95 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $371.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,905.46 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $269.15 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $275.42 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $363.08 | $380.19 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $288.40 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $323.59 | $416.87 | $562.34 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $100.00 | $138.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $239.88 | $309.03 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Facility | None | $707.95 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $426.58 | $602.56 | $724.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $288.40 | $436.52 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $104.71 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $331.13 | $467.74 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 5.5 times more in Wyoming 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
$437
WY $1,047UT $191
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.