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 Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $954.99 | Facility | None | $426.58 | $426.58 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $128.82 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $891.25 | Professional | TC · Technical part | $281.84 | $295.12 | $891.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $831.76 | Professional | None (both parts) | $239.88 | $239.88 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $2,187.76 | Facility | None | $1,548.82 | $2,137.96 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $741.31 Typical High $1,445.44 | Professional | None (both parts) | $346.74 | $741.31 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $177.83 Typical High $309.03 | Professional | 26 · Professional part | $83.18 | $177.83 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $977.24 | Professional | TC · Technical part | $263.03 | $562.34 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,951.21 Typical High $5,754.40 | Facility | None | $724.44 | $2,951.21 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $602.56 Typical High $1,698.24 | Professional | None (both parts) | $467.74 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $123.03 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $489.78 Typical High $1,548.82 | Professional | TC · Technical part | $363.08 | $489.78 | $1,548.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $645.65 Typical High $1,380.38 | Professional | None (both parts) | $380.19 | $645.65 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $141.25 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $467.74 Typical High $1,000.00 | Professional | TC · Technical part | $288.40 | $467.74 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $489.78 | $758.58 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $93.33 | $120.23 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $1,380.38 | Professional | TC · Technical part | $380.19 | $489.78 | $1,380.38 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $478.63 | Facility | TC · Technical part | $407.38 | $407.38 | $478.63 |
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 $407.38 | Professional | 52 · Reduced service | $186.21 | $213.80 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $165.96 | Professional | 53 · Discontinued | $74.13 | $85.11 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $660.69 | Professional | FX · Film X-ray | $323.59 | $338.84 | $660.69 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$741
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.