How much rates vary
Facilitymedian $50 · 10th to 90th $43 to $251Professionalmedian $50 · 10th to 90th $40 to $79
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 $42.66 Median $42.66 Typical High $56.23 | Facility | None | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $41.69 | $42.66 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $12.88 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $30.20 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $147.91 Typical High $251.19 | Facility | None | $107.15 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $37.15 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $10.72 | $15.14 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $41.69 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $48.98 | $50.12 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $13.49 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $36.31 | $66.07 |
Community Health Options Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $40.74 | $50.12 | $77.62 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $12.59 | $15.14 | $20.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $37.15 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $5,754.40 | Facility | None | $42.66 | $47.86 | $5,754.40 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $41.69 | $42.66 | $79.43 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $12.88 | $21.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $30.20 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $35.48 | $47.86 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $16.22 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $32.36 | $58.88 |
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 $13.80 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $13.80 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $5.50 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $33.11 | $34.67 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.95 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $30.90 | $34.67 | $34.67 |
Where Maine sits
The same service costs 12.6 times more in Vermont 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.
Maine· 19th of 51
$50.12
VT $389FL $30.90
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.