How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $2,188Professionalmedian $316 · 10th to 90th $214 to $603
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 $269.15 Median $602.56 Typical High $1,096.48 | Facility | None | $269.15 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $234.42 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $154.88 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $338.84 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,905.46 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $204.17 | $281.84 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $263.03 | $275.42 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $177.83 | $602.56 |
Community Health Options Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $151.36 | $275.42 | $398.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $102.33 | $141.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $194.98 | $263.03 |
Martin's Point Setting Facility Modifier None Typical Low $239.88 Median $1,096.48 Typical High $1,096.48 | Facility | None | $239.88 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $234.42 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $234.42 | $524.81 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $162.18 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $354.81 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $354.81 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $204.17 | $302.00 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $107.15 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $199.53 | $302.00 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $478.63 | $478.63 |
Where Maine sits
The same service costs 24.0 times more in Vermont 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· 31st of 51
$316
VT $2,951UT $123
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.