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 $371.54 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $371.54 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $295.12 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,202.26 | $1,659.59 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $575.44 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $169.82 Typical High $295.12 | Professional | 26 · Professional part | $79.43 | $169.82 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $407.38 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,238.72 Typical High $3,715.35 | Facility | None | $478.63 | $2,238.72 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $1,258.93 | Professional | None (both parts) | $363.08 | $446.68 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $117.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $316.23 | $954.99 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $1,096.48 | Professional | None (both parts) | $302.00 | $501.19 | $1,096.48 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $138.04 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $346.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $389.05 | $537.03 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $117.49 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $1,023.29 | Professional | TC · Technical part | $281.84 | $363.08 | $1,023.29 |
Well Sense Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
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 $467.74 | Professional | FX · Film X-ray | $323.59 | $338.84 | $467.74 |
Where New Hampshire sits
The same service costs 5.6 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· 13th of 51
$575
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.