How much rates vary
Facilitymedian $68 · 10th to 90th $58 to $331Professionalmedian $66 · 10th to 90th $54 to $110
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 $57.54 Median $57.54 Typical High $67.61 | Facility | None | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $53.70 | $57.54 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $15.49 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $41.69 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $331.13 | Facility | None | $144.54 | $199.53 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $54.95 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $18.20 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $53.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $66.07 | $66.07 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $16.98 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $50.12 | $93.33 |
Community Health Options Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $51.29 | $72.44 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $19.95 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $52.48 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $7,762.47 | Facility | None | $57.54 | $64.57 | $7,762.47 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $53.70 | $57.54 | $109.65 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $15.49 | $28.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $41.69 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $47.86 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $21.88 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $21.88 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $41.69 | $77.62 |
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 $17.38 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $17.38 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $6.92 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $42.66 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $26.92 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.72 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $41.69 | $45.71 | $45.71 |
Where Maine sits
The same service costs 4.8 times more in Alaska 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· 21st of 51
$66.07
AK $158UT $33.11
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.