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 $28.18 Median $28.18 Typical High $74.13 | Facility | None | $28.18 | $28.18 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $81.28 | Professional | None (both parts) | $21.88 | $28.18 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $21.88 | Professional | 26 · Professional part | $6.17 | $8.32 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.50 Typical High $58.88 | Professional | TC · Technical part | $15.49 | $19.50 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $6.92 | $11.22 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $194.98 | Facility | None | $138.04 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $30.90 | $44.67 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $12.59 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $524.81 | Facility | None | $107.15 | $162.18 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $34.67 | $44.67 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $12.30 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $33.11 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $25.12 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $25.12 | $51.29 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $27.54 | Professional | 26 · Professional part | $9.55 | $14.79 | $27.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $24.55 | $39.81 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $29.51 | $41.69 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.30 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $30.90 | $53.70 |
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 $10.96 Median $14.13 Typical High $21.88 | Professional | 52 · Reduced service | $10.96 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.62 Typical High $8.71 | Professional | 53 · Discontinued | $4.37 | $5.62 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $22.39 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $22.39 | $24.55 |
Where New Hampshire sits
The same service costs 4.3 times more in Alaska than in New York. 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· 16th of 51
$44.67
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.