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 Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $70.79 | $95.50 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $40.74 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $54.95 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $691.83 | Facility | None | $501.19 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $112.20 | $158.49 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $100.00 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $1,412.54 | Facility | None | $316.23 | $575.44 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $128.82 | $162.18 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $102.33 | $208.93 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $123.03 | $186.21 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $70.79 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $117.49 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $125.89 | $147.91 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $91.20 | $158.49 |
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 $34.67 Median $47.86 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.05 Typical High $30.90 | Professional | 53 · Discontinued | $14.13 | $19.05 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $75.86 Typical High $79.43 | Professional | FX · Film X-ray | $56.23 | $75.86 | $79.43 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$158
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.