How much rates vary
Facilitymedian $302 · 10th to 90th $219 to $513Professionalmedian $129 · 10th to 90th $102 to $214
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $85.11 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $48.98 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $512.86 | Facility | None | $218.78 | $302.00 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $107.15 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $58.88 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $87.10 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $128.82 | $134.90 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $51.29 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $81.28 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $112.20 | $138.04 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $58.88 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $87.10 | $134.90 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $85.11 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $48.98 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $102.33 | $128.82 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $61.66 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $74.13 | $134.90 |
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 $35.48 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $14.13 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $75.86 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $47.86 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $75.86 | $97.72 | $97.72 |
Where Maine sits
The same service costs 4.4 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· 23rd of 51
$132
AK $324UT $74.13
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.