How much rates vary
Facilitymedian $1,096 · 10th to 90th $1,096 to $3,236Professionalmedian $832 · 10th to 90th $550 to $2,042
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 $870.96 Median $1,096.48 Typical High $1,096.48 | Facility | None | $870.96 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $398.11 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,905.46 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $812.83 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $331.13 | Professional | 26 · Professional part | $154.88 | $199.53 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $616.60 Typical High $1,202.26 | Professional | TC · Technical part | $478.63 | $616.60 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,737.80 Typical High $3,090.30 | Professional | None (both parts) | $1,479.11 | $1,737.80 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $338.84 | Professional | 26 · Professional part | $186.21 | $186.21 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,548.82 Typical High $2,754.23 | Professional | TC · Technical part | $1,445.44 | $1,548.82 | $2,754.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,412.54 Typical High $2,691.53 | Professional | None (both parts) | $549.54 | $1,412.54 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $302.00 | Professional | 26 · Professional part | $165.96 | $208.93 | $302.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,096.48 Typical High $2,344.23 | Professional | TC · Technical part | $363.08 | $1,096.48 | $2,344.23 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Facility | None | $707.95 | $1,096.48 | $1,096.48 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $128.82 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $295.12 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $537.03 | $691.83 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $302.00 | Professional | 26 · Professional part | $154.88 | $208.93 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $1,047.13 | Professional | TC · Technical part | $338.84 | $436.52 | $1,047.13 |
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 $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Aetna 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 |
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 $213.80 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $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 12.3 times more in Wyoming than in Hawaii. 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· 19th of 51
$871
WY $3,467HI $282
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.