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 Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Facility | None | $426.58 | $426.58 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $363.08 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $128.82 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,412.54 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $229.09 | $489.78 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $251.19 | Professional | 26 · Professional part | $66.07 | $141.25 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $162.18 | $346.74 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $3,162.28 | Facility | None | $724.44 | $1,995.26 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $380.19 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $380.19 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $100.00 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $288.40 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $251.19 | $426.58 | $891.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $74.13 | $120.23 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $177.83 | $295.12 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $478.63 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $75.86 | $97.72 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $245.47 | $316.23 | $954.99 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $288.40 | Facility | TC · Technical part | $245.47 | $245.47 | $288.40 |
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 $407.38 | Professional | FX · Film X-ray | $323.59 | $338.84 | $407.38 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$490
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.