How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $2,188Professionalmedian $407 · 10th to 90th $269 to $646
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 $602.56 Median $602.56 Typical High $1,096.48 | Facility | None | $602.56 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $281.84 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $147.91 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $354.81 | $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 $245.47 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $245.47 | $338.84 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $229.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $812.83 | Professional | None (both parts) | $316.23 | $331.13 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $234.42 | $676.08 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $281.84 | $436.52 | $616.60 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $100.00 | $138.04 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $199.53 | $309.03 | $489.78 |
Martin's Point Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,096.48 | Facility | None | $602.56 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $281.84 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $281.84 | $549.54 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $154.88 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $371.54 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $251.19 | $478.63 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $104.71 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $371.54 | $512.86 |
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 $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $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 $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 6.0 times more in Wyoming 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· 23rd of 51
$437
WY $912UT $151
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.