How much rates vary
Facilitymedian $245 · 10th to 90th $49 to $513Professionalmedian $63 · 10th to 90th $43 to $123
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 $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $42.66 Typical High $109.65 | Professional | None (both parts) | $30.20 | $42.66 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.22 Typical High $30.90 | Professional | 26 · Professional part | $8.32 | $11.22 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $31.62 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $31.62 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $275.42 | Facility | None | $194.98 | $269.15 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $43.65 | $63.10 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $17.78 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $75.86 | Professional | TC · Technical part | $30.90 | $44.67 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $645.65 | Facility | None | $141.25 | $223.87 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $60.26 Typical High $128.82 | Professional | None (both parts) | $46.77 | $60.26 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $16.60 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $43.65 | $93.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $154.88 | Professional | None (both parts) | $45.71 | $74.13 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $39.81 | Professional | 26 · Professional part | $13.49 | $20.42 | $39.81 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $51.29 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $40.74 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $16.98 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $39.81 | $72.44 |
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 $15.14 Median $21.38 Typical High $28.84 | Professional | 52 · Reduced service | $15.14 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.51 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $8.51 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $23.99 | $33.88 | $33.88 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$63.10
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.