How much rates vary
Facilitymedian $1,096 · 10th to 90th $851 to $2,692Professionalmedian $603 · 10th to 90th $417 to $871
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 $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $398.11 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $165.96 | $165.96 |
Aetna 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,344.23 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $380.19 | $549.54 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $109.65 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $295.12 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $537.03 Typical High $1,096.48 | Professional | None (both parts) | $512.86 | $537.03 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $436.52 Typical High $933.25 | Professional | TC · Technical part | $416.87 | $436.52 | $933.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $794.33 | Professional | None (both parts) | $446.68 | $575.44 | $794.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $117.49 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $467.74 Typical High $630.96 | Professional | TC · Technical part | $363.08 | $467.74 | $630.96 |
Martin's Point Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $426.58 | $602.56 | $691.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $309.03 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $407.38 | $616.60 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $123.03 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $501.19 | $707.95 |
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 $194.98 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $194.98 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $77.62 | $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 $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Martin's Point 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 |
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 5.5 times more in Wyoming 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.
Maine· 23rd of 51
$603
WY $1,514UT $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.