How much rates vary
Facilitymedian $123 · 10th to 90th $46 to $263Professionalmedian $52 · 10th to 90th $39 to $83
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 $45.71 Median $45.71 Typical High $61.66 | Facility | None | $45.71 | $45.71 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $41.69 | $45.71 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $10.96 | $14.45 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $31.62 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $154.88 Typical High $263.03 | Facility | None | $112.20 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $32.36 | $52.48 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $16.98 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $42.66 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $52.48 | $52.48 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $14.79 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $37.15 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $40.74 | $53.70 | $87.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $15.49 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $83.18 | Professional | TC · Technical part | $31.62 | $39.81 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $6,165.95 | Facility | None | $45.71 | $61.66 | $6,165.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $42.66 | $45.71 | $83.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $14.45 | $20.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $31.62 | $31.62 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $38.02 | $51.29 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.49 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $15.49 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $36.31 | $60.26 |
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 $15.14 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $15.14 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $6.03 | $9.12 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $33.88 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $21.38 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.51 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $32.36 | $36.31 | $36.31 |
Where Maine sits
The same service costs 3.7 times more in Alaska 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· 20th of 51
$52.48
AK $123UT $33.11
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.