How much rates vary
Facilitymedian $891 · 10th to 90th $646 to $1,479Professionalmedian $191 · 10th to 90th $145 to $309
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 $147.91 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $147.91 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $85.11 | $85.11 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,479.11 | Facility | None | $645.65 | $891.25 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $134.90 | $190.55 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $87.10 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $104.71 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $204.17 | $208.93 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $125.89 | $257.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $158.49 | $190.55 | $309.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $91.20 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $95.50 | $181.97 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $154.88 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $85.11 | $85.11 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $134.90 | $173.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $95.50 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $85.11 | $181.97 |
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 $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $77.62 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $77.62 | $128.82 | $128.82 |
Where Maine 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.
Maine· 35th of 51
$191
AK $447UT $97.72
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.