How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $3,388Professionalmedian $513 · 10th to 90th $372 to $933
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 $446.68 Median $602.56 Typical High $1,096.48 | Facility | None | $446.68 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $389.05 | $602.56 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $120.23 | $165.96 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $426.58 | $436.52 |
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 $354.81 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $354.81 | $467.74 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $151.36 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $457.09 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $131.83 | $138.04 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $1,047.13 | Professional | TC · Technical part | $295.12 | $309.03 | $1,047.13 |
Community Health Options Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $389.05 | $501.19 | $676.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $213.80 | Professional | 26 · Professional part | $125.89 | $154.88 | $213.80 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $338.84 | $457.09 |
Martin's Point Setting Facility Modifier None Typical Low $398.11 Median $1,096.48 Typical High $1,174.90 | Facility | None | $398.11 | $1,096.48 | $1,174.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $389.05 | $602.56 | $851.14 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $120.23 | $165.96 | $208.93 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $426.58 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $758.58 | Professional | None (both parts) | $346.74 | $512.86 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $213.80 | Professional | 26 · Professional part | $112.20 | $162.18 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $346.74 | $524.81 |
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 6.6 times more in Vermont 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· 26th of 51
$525
VT $1,349UT $204
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.