How much rates vary
Facilitymedian $151 · 10th to 90th $29 to $209Professionalmedian $48 · 10th to 90th $29 to $91
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 $28.84 Median $28.84 Typical High $51.29 | Facility | None | $28.84 | $28.84 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.84 Typical High $83.18 | Professional | None (both parts) | $21.88 | $28.84 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $20.42 | Professional | 26 · Professional part | $6.46 | $7.94 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $63.10 | Professional | TC · Technical part | $15.14 | $20.89 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $27.54 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $208.93 | Facility | None | $151.36 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $33.11 | $47.86 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.48 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $36.31 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $524.81 | Facility | None | $114.82 | $173.78 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $97.72 | Professional | None (both parts) | $35.48 | $46.77 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $35.48 | $75.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $34.67 | $56.23 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $8.71 | $13.49 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $41.69 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $31.62 | $42.66 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $32.36 | $54.95 |
4 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 $14.45 Typical High $22.39 | Professional | 52 · Reduced service | $10.96 | $14.45 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.75 Typical High $8.91 | Professional | 53 · Discontinued | $4.37 | $5.75 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $23.44 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $23.44 | $24.55 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $72.44 Typical High $125.89 | Professional | 50 · Both sides | $50.12 | $72.44 | $125.89 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$47.86
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.