How much rates vary
Facilitymedian $89 · 10th to 90th $37 to $209Professionalmedian $41 · 10th to 90th $32 to $65
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 $37.15 Median $37.15 Typical High $40.74 | Facility | None | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $32.36 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $11.48 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $25.12 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $208.93 | Facility | None | $89.13 | $123.03 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $26.92 | $44.67 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $13.18 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $33.11 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $41.69 | $42.66 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $11.75 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $30.20 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $67.61 | Professional | None (both parts) | $36.31 | $41.69 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $10.96 | $13.80 | $18.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $29.51 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $4,677.35 | Facility | None | $37.15 | $40.74 | $4,677.35 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $32.36 | $37.15 | $61.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $15.85 | Professional | 26 · Professional part | $9.55 | $11.48 | $15.85 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $25.12 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $30.90 | $39.81 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $14.45 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $26.30 | $48.98 |
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 $11.48 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $26.30 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.22 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.41 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $29.51 | $29.51 |
Where Maine sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$40.74
AK $95.50FL $26.92
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.