How much rates vary
Facilitymedian $47 · 10th to 90th $35 to $174Professionalmedian $41 · 10th to 90th $30 to $65
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 $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $28.84 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $25.70 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $173.78 | Facility | None | $74.13 | $102.33 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $31.62 | $45.71 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $10.96 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $32.36 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $38.02 | $39.81 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $30.20 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $33.11 | $41.69 | $64.57 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.33 | $11.48 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $31.62 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $4,786.30 | Facility | None | $35.48 | $40.74 | $4,786.30 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $29.51 | $35.48 | $61.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $16.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $25.70 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $29.51 | $37.15 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $25.70 | $47.86 |
7 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 $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $10.96 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.37 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $69.18 Typical High $93.33 | Professional | 50 · Both sides | $46.77 | $69.18 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $28.18 | $28.18 |
Where Maine sits
The same service costs 6.0 times more in Vermont 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· 20th of 51
$40.74
VT $155FL $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.