How much rates vary
Facilitymedian $1,445 · 10th to 90th $427 to $1,995Professionalmedian $646 · 10th to 90th $363 to $1,288
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 $1,445.44 | Facility | None | $426.58 | $426.58 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $426.58 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $128.82 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $295.12 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $776.25 | Professional | None (both parts) | $223.87 | $223.87 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $85.11 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,412.54 | $1,949.84 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $316.23 | $676.08 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $104.71 | $223.87 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $213.80 | $457.09 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,238.72 Typical High $6,165.95 | Facility | None | $630.96 | $2,238.72 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $1,548.82 | Professional | None (both parts) | $426.58 | $524.81 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $323.59 | Professional | 26 · Professional part | $134.90 | $158.49 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $1,230.27 | Professional | TC · Technical part | $295.12 | $354.81 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $354.81 Median $588.84 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $588.84 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $114.82 | $181.97 | $354.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $389.05 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $630.96 Typical High $1,230.27 | Professional | None (both parts) | $457.09 | $630.96 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $354.81 | Professional | 26 · Professional part | $117.49 | $154.88 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $316.23 | $407.38 | $954.99 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $89.13 | Facility | 26 · Professional part | $75.86 | $75.86 | $89.13 |
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 $426.58 | Professional | FX · Film X-ray | $323.59 | $338.84 | $426.58 |
Where New Hampshire 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.
New Hampshire· 9th of 51
$676
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.