How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $3,388Professionalmedian $562 · 10th to 90th $398 to $1,000
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 $602.56 Median $870.96 Typical High $1,096.48 | Facility | None | $602.56 | $870.96 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $426.58 | $602.56 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $436.52 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,137.96 | $2,951.21 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $371.54 | $512.86 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $120.23 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $263.03 | $380.19 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $467.74 | $489.78 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $109.65 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $380.19 Typical High $1,174.90 | Professional | TC · Technical part | $363.08 | $380.19 | $1,174.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $426.58 | $645.65 | $977.24 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $123.03 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $323.59 | $501.19 | $831.76 |
Martin's Point Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $426.58 | $602.56 | $933.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $436.52 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $758.58 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $616.60 Typical High $870.96 | Professional | TC · Technical part | $275.42 | $616.60 | $870.96 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 5.6 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.
Maine· 27th of 51
$575
WY $1,380UT $245
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.