How much rates vary
Facilitymedian $151 · 10th to 90th $110 to $257Professionalmedian $47 · 10th to 90th $36 to $72
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 $28.18 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $28.18 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $6.92 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $21.38 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $257.04 | Facility | None | $109.65 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $36.31 | $52.48 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $11.22 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $38.90 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $46.77 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $37.15 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $39.81 | $48.98 | $74.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $12.02 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $30.20 | $37.15 | $57.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $38.02 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.20 | $30.90 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $33.88 | $48.98 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.88 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $35.48 | $60.26 |
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 $14.13 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $14.13 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.62 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $31.62 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $29.51 | $32.36 | $32.36 |
Where Maine sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$46.77
AK $110FL $29.51
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.