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 $371.54 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $371.54 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $257.04 | $295.12 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,412.54 | Facility | None | $1,000.00 | $1,380.38 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $223.87 | $478.63 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $61.66 | $131.83 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $162.18 | $346.74 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,513.56 Typical High $3,090.30 | Facility | None | $478.63 | $1,513.56 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $371.54 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $91.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $223.87 | $269.15 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $245.47 | $416.87 | $851.14 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $104.71 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $295.12 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $331.13 | $478.63 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $91.20 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $741.31 | Professional | TC · Technical part | $245.47 | $316.23 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
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 $186.21 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $407.38 | Professional | FX · Film X-ray | $323.59 | $338.84 | $407.38 |
Where New Hampshire sits
The same service costs 5.8 times more in Wyoming 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· 18th of 51
$479
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.