How much rates vary
Facilitymedian $316 · 10th to 90th $229 to $537Professionalmedian $123 · 10th to 90th $89 to $195
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 $64.57 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $64.57 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $12.30 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $537.03 | Facility | None | $229.09 | $316.23 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $91.20 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $104.71 | $128.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $18.62 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $77.62 | $109.65 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $89.13 | $125.89 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $17.38 | $21.88 | $29.51 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $104.71 | $162.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $83.18 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $14.79 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $67.61 | $83.18 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $83.18 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $14.79 | $22.91 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $85.11 | $169.82 |
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 $32.36 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $32.36 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $12.88 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $81.28 | $81.28 |
Where Maine 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.
Maine· 20th of 51
$126
AK $288NY $67.61
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.