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 $398.11 Median $426.58 Typical High $1,096.48 | Professional | None (both parts) | $398.11 | $426.58 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $117.49 | $128.82 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $812.83 | Professional | TC · Technical part | $281.84 | $295.12 | $812.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,137.96 | Facility | None | $1,513.56 | $2,089.30 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $724.44 Typical High $1,258.93 | Professional | None (both parts) | $338.84 | $724.44 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $173.78 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,548.82 Typical High $3,311.31 | Facility | None | $338.84 | $1,548.82 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $1,380.38 | Professional | None (both parts) | $457.09 | $537.03 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $123.03 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $407.38 Typical High $1,122.02 | Professional | TC · Technical part | $354.81 | $407.38 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $380.19 | $602.56 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $89.13 | $141.25 | $263.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $851.14 | Professional | TC · Technical part | $281.84 | $457.09 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $489.78 | $575.44 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $120.23 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $457.09 Typical High $831.76 | Professional | TC · Technical part | $380.19 | $457.09 | $831.76 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $457.09 | Facility | TC · Technical part | $389.05 | $389.05 | $457.09 |
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 $457.09 | Professional | FX · Film X-ray | $323.59 | $338.84 | $457.09 |
Where New Hampshire sits
The same service costs 5.6 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· 8th of 51
$692
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.