How much rates vary
Facilitymedian $741 · 10th to 90th $427 to $1,202Professionalmedian $407 · 10th to 90th $214 to $776
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 $295.12 Median $426.58 Typical High $741.31 | Facility | None | $295.12 | $426.58 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $302.00 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $128.82 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $194.98 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $467.74 | Professional | None (both parts) | $134.90 | $158.49 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,202.26 | Facility | None | $851.14 | $1,174.90 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $190.55 | $407.38 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $147.91 Typical High $257.04 | Professional | 26 · Professional part | $69.18 | $147.91 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $123.03 | $263.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,445.44 Typical High $3,311.31 | Facility | None | $467.74 | $1,445.44 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $912.01 | Professional | None (both parts) | $257.04 | $316.23 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $100.00 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $758.58 | Professional | TC · Technical part | $169.82 | $204.17 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $208.93 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $208.93 | $354.81 | $691.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $75.86 | $120.23 | $229.09 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $134.90 | $223.87 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $275.42 | $398.11 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $102.33 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $234.42 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
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 $154.88 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $338.84 | $338.84 |
Where New Hampshire 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.
New Hampshire· 18th of 51
$407
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.