How much rates vary
Facilitymedian $141 · 10th to 90th $42 to $257Professionalmedian $59 · 10th to 90th $37 to $112
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 $41.69 Median $41.69 Typical High $63.10 | Facility | None | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $102.33 | Professional | None (both parts) | $27.54 | $41.69 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $26.92 | Professional | 26 · Professional part | $8.51 | $11.48 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $75.86 | Professional | TC · Technical part | $18.62 | $29.51 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $28.18 | $33.11 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $13.80 | Professional | 26 · Professional part | $8.71 | $11.22 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $257.04 | Facility | None | $181.97 | $251.19 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $40.74 | $58.88 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $10.72 | $15.49 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $645.65 | Facility | None | $138.04 | $223.87 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $47.86 | $57.54 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $15.14 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $89.13 | Professional | TC · Technical part | $35.48 | $42.66 | $89.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $144.54 | Professional | None (both parts) | $42.66 | $66.07 | $144.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $11.48 | $17.38 | $31.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $48.98 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $38.90 | $51.29 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $15.14 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $38.02 | $66.07 |
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 $13.80 Median $20.42 Typical High $27.54 | Professional | 52 · Reduced service | $13.80 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.32 Typical High $10.96 | Professional | 53 · Discontinued | $5.50 | $8.32 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $21.88 | $33.11 | $33.11 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$58.88
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.