How much rates vary
Facilitymedian $1,096 · 10th to 90th $1,096 to $5,012Professionalmedian $603 · 10th to 90th $324 to $3,467
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 $371.54 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $371.54 | $602.56 | $776.25 |
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 $257.04 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $436.52 | $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 $234.42 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $234.42 | $416.87 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $154.88 | $208.93 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $245.47 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,737.80 Typical High $3,235.94 | Professional | None (both parts) | $1,659.59 | $1,737.80 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | 26 · Professional part | $190.55 | $190.55 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $2,884.03 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $2,884.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $2,041.74 Typical High $4,265.80 | Professional | None (both parts) | $389.05 | $2,041.74 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $309.03 | Professional | 26 · Professional part | $181.97 | $229.09 | $309.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $1,819.70 Typical High $3,801.89 | Professional | TC · Technical part | $199.53 | $1,819.70 | $3,801.89 |
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 $371.54 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $371.54 | $602.56 | $776.25 |
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 $263.03 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $263.03 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,148.15 Typical High $4,677.35 | Professional | None (both parts) | $323.59 | $1,148.15 | $4,677.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $309.03 | Professional | 26 · Professional part | $162.18 | $229.09 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $630.96 Typical High $4,365.16 | Professional | TC · Technical part | $165.96 | $630.96 | $4,365.16 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $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 13.5 times more in Wyoming than in Washington. 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· 25th of 51
$603
WY $3,715WA $275
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.