How much rates vary
Facilitymedian $26 · 10th to 90th $24 to $98Professionalmedian $27 · 10th to 90th $21 to $44
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 $23.99 Median $23.99 Typical High $25.70 | Facility | None | $23.99 | $23.99 | $25.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $21.38 | $23.99 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.60 Typical High $28.84 | Professional | TC · Technical part | $14.79 | $16.60 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $144.54 | Facility | None | $61.66 | $85.11 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $21.88 | $30.90 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $14.13 | Professional | 26 · Professional part | $7.41 | $10.23 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.42 Typical High $27.54 | Professional | TC · Technical part | $14.45 | $20.42 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $26.30 | $28.18 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $9.12 | $9.12 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $17.38 | $18.20 | $32.36 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $17.78 Median $28.84 Typical High $41.69 | Professional | None (both parts) | $17.78 | $28.84 | $41.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $10.72 | $14.79 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $28.84 | Professional | TC · Technical part | $16.22 | $20.89 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $21.88 | $23.99 | $43.65 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.60 Typical High $28.84 | Professional | TC · Technical part | $14.79 | $16.60 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $30.90 Typical High $43.65 | Professional | None (both parts) | $19.95 | $30.90 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.96 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $19.95 Typical High $29.51 | Professional | TC · Technical part | $12.30 | $19.95 | $29.51 |
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 $8.91 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $8.91 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $3.63 | $4.79 | $4.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | FX · Film X-ray | $18.20 | $19.05 | $19.05 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $45.71 Typical High $61.66 | Professional | 50 · Both sides | $32.36 | $45.71 | $61.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.96 | $12.02 | $12.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.37 | $4.79 | $4.79 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | FX · Film X-ray | $16.60 | $19.05 | $19.05 |
Where Maine sits
The same service costs 3.7 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.
Maine· 28th of 51
$26.92
AK $64.57FL $17.38
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.