How much rates vary
Facilitymedian $74 · 10th to 90th $68 to $479Professionalmedian $78 · 10th to 90th $63 to $123
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 $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $123.03 | Professional | None (both parts) | $67.61 | $74.13 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.38 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $17.38 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $51.29 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $478.63 | Facility | None | $204.17 | $281.84 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $61.66 | $87.10 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $20.42 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $44.67 | $64.57 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $77.62 | $77.62 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $19.05 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $58.88 | $107.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $67.61 | $85.11 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $16.98 | $21.88 | $28.84 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $48.98 | $63.10 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $8,709.64 | Facility | None | $67.61 | $72.44 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $67.61 | $75.86 | $123.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.38 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $17.38 | $28.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $51.29 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $56.23 | $85.11 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $23.44 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $23.44 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $60.26 | $97.72 |
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 $24.55 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $24.55 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $52.48 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $47.86 | $53.70 | $53.70 |
Where Maine sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 25th of 51
$77.62
AK $182TX $50.12
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.