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 $75.86 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $75.86 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $645.65 | Facility | None | $467.74 | $645.65 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $104.71 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $60.26 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $89.13 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $426.58 Typical High $4,466.84 | Facility | None | $53.70 | $426.58 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $128.82 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $60.26 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $100.00 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $114.82 | $186.21 | $363.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $74.13 | $134.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $112.20 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $141.25 | $177.83 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $100.00 | $177.83 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $66.07 | Facility | TC · Technical part | $54.95 | $54.95 | $66.07 |
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 $38.02 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $38.02 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $15.14 | $27.54 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $60.26 | $109.65 | $109.65 |
Where New Hampshire sits
The same service costs 4.6 times more in Alaska 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· 17th of 51
$166
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.