How much rates vary
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 $32.36 Median $32.36 Typical High $79.43 | Facility | None | $32.36 | $32.36 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $66.07 | Professional | None (both parts) | $22.91 | $32.36 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $9.55 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $15.14 | $22.91 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $208.93 | Facility | None | $147.91 | $204.17 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $33.11 | $47.86 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $13.49 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $524.81 | Facility | None | $114.82 | $204.17 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $100.00 | Professional | None (both parts) | $40.74 | $47.86 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $13.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $29.51 | $34.67 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $36.31 | $56.23 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $10.23 | $15.85 | $30.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $39.81 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $36.31 | $44.67 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $13.80 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $31.62 | $54.95 |
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 $11.48 Median $16.22 Typical High $23.44 | Professional | 52 · Reduced service | $11.48 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.46 Typical High $9.33 | Professional | 53 · Discontinued | $4.57 | $6.46 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $26.30 | $26.30 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$47.86
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.