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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $380.19 | $426.58 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $128.82 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $263.03 | $295.12 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,698.24 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $588.84 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $177.83 Typical High $309.03 | Professional | 26 · Professional part | $83.18 | $177.83 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $407.38 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,238.72 Typical High $3,801.89 | Facility | None | $645.65 | $2,238.72 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $1,230.27 | Professional | None (both parts) | $371.54 | $446.68 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $123.03 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $263.03 | $316.23 | $954.99 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $512.86 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $91.20 | $144.54 | $275.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $346.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $512.86 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $275.42 | Professional | 26 · Professional part | $93.33 | $123.03 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $288.40 | $371.54 | $741.31 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $407.38 | Facility | TC · Technical part | $346.74 | $346.74 | $407.38 |
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 $186.21 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $363.08 | Professional | FX · Film X-ray | $323.59 | $338.84 | $363.08 |
Where New Hampshire sits
The same service costs 5.9 times more in Wyoming 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.
New Hampshire· 10th of 51
$589
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.