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 Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $398.11 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $128.82 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $295.12 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,137.96 | Facility | None | $1,513.56 | $2,089.30 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $724.44 Typical High $1,258.93 | Professional | None (both parts) | $338.84 | $724.44 | $1,258.93 |
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 $257.04 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,548.82 Typical High $3,548.13 | Facility | None | $363.08 | $1,548.82 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $1,479.11 | Professional | None (both parts) | $457.09 | $537.03 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $120.23 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $1,148.15 | Professional | TC · Technical part | $354.81 | $416.87 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $616.60 Typical High $1,230.27 | Professional | None (both parts) | $380.19 | $616.60 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $91.20 | $141.25 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $870.96 | Professional | TC · Technical part | $281.84 | $467.74 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $1,148.15 | Professional | None (both parts) | $501.19 | $602.56 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $93.33 | $120.23 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $467.74 Typical High $870.96 | Professional | TC · Technical part | $389.05 | $467.74 | $870.96 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $70.79 | Facility | 26 · Professional part | $60.26 | $60.26 | $70.79 |
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 $478.63 | Professional | FX · Film X-ray | $323.59 | $338.84 | $478.63 |
Where New Hampshire sits
The same service costs 5.4 times more in Wyoming 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.
New Hampshire· 7th of 51
$724
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.