How much rates vary
Facilitymedian $87 · 10th to 90th $36 to $182Professionalmedian $41 · 10th to 90th $31 to $66
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $26.92 | $36.31 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $10.00 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $19.50 | $26.30 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $181.97 | Facility | None | $79.43 | $109.65 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $33.11 | $47.86 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $10.96 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $33.88 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $39.81 | $40.74 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $10.00 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $30.90 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $67.61 | Professional | None (both parts) | $32.36 | $41.69 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $12.02 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $23.44 | $31.62 | $51.29 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $29.51 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $29.51 | $36.31 | $64.57 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $10.00 | $16.60 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $26.30 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $30.20 | $38.90 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $12.59 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $26.92 | $50.12 |
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 $10.96 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $10.96 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $4.47 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.84 | $28.84 |
Where Maine sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 21st of 51
$40.74
AK $95.50FL $25.70
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.