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 Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $426.58 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $128.82 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $295.12 | $295.12 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $2,344.23 | Facility | None | $1,659.59 | $2,290.87 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $794.33 Typical High $1,380.38 | Professional | None (both parts) | $371.54 | $794.33 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $169.82 Typical High $295.12 | Professional | 26 · Professional part | $79.43 | $169.82 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $630.96 Typical High $1,096.48 | Professional | TC · Technical part | $295.12 | $630.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $6,606.93 | Facility | None | $724.44 | $3,801.89 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $1,513.56 | Professional | None (both parts) | $501.19 | $588.84 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $117.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $467.74 Typical High $1,288.25 | Professional | TC · Technical part | $407.38 | $467.74 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $426.58 Median $676.08 Typical High $1,445.44 | Professional | None (both parts) | $426.58 | $676.08 | $1,445.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $138.04 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $138.04 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $524.81 Typical High $1,023.29 | Professional | TC · Technical part | $323.59 | $524.81 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $660.69 Typical High $1,445.44 | Professional | None (both parts) | $549.54 | $660.69 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $117.49 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $537.03 Typical High $1,174.90 | Professional | TC · Technical part | $446.68 | $537.03 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
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 $190.55 Median $213.80 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | 53 · Discontinued | $77.62 | $85.11 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $524.81 | Professional | FX · Film X-ray | $323.59 | $338.84 | $524.81 |
Where New Hampshire 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.
New Hampshire· 8th of 51
$776
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.