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 $29.51 Median $29.51 Typical High $51.29 | Facility | None | $29.51 | $29.51 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $29.51 Typical High $83.18 | Professional | None (both parts) | $21.88 | $29.51 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $21.38 | Professional | 26 · Professional part | $6.46 | $8.32 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $21.38 Typical High $63.10 | Professional | TC · Technical part | $15.14 | $21.38 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $77.62 | Professional | None (both parts) | $26.30 | $26.30 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $199.53 | Facility | None | $144.54 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $32.36 | $45.71 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $12.02 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $181.97 Typical High $524.81 | Facility | None | $114.82 | $181.97 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $97.72 | Professional | None (both parts) | $38.02 | $46.77 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $12.02 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $34.67 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $32.36 | $53.70 | $114.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $9.12 | $13.80 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $39.81 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $32.36 | $42.66 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $11.75 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $31.62 | $54.95 |
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 $10.96 Median $14.79 Typical High $22.39 | Professional | 52 · Reduced service | $10.96 | $14.79 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $6.03 Typical High $8.91 | Professional | 53 · Discontinued | $4.37 | $6.03 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $23.99 Typical High $25.12 | Professional | FX · Film X-ray | $17.38 | $23.99 | $25.12 |
Where New Hampshire sits
The same service costs 3.8 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.
New Hampshire· 17th of 51
$45.71
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.