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 $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $40.74 | $48.98 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $14.13 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $34.67 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $309.03 | Facility | None | $131.83 | $181.97 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $42.66 | $63.10 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $16.22 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $44.67 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $54.95 | $56.23 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $14.45 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $40.74 | $40.74 | $75.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $47.86 | $54.95 | $87.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $15.49 | $21.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $40.74 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $44.67 | $48.98 | $89.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $14.13 | $22.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $33.11 | $34.67 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $40.74 | $52.48 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $15.49 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $37.15 | $66.07 |
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 $15.49 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.17 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $36.31 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.12 | $9.77 | $9.77 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $33.88 | $38.90 | $38.90 |
Where Maine sits
The same service costs 3.9 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· 23rd of 51
$54.95
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.