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 Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $50.12 | Facility | None | $23.99 | $23.99 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $54.95 | Professional | None (both parts) | $17.78 | $23.99 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.24 Typical High $18.62 | Professional | 26 · Professional part | $5.89 | $7.24 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $16.60 Typical High $36.31 | Professional | TC · Technical part | $12.02 | $16.60 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $134.90 | Facility | None | $97.72 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $21.88 | $31.62 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $10.47 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $20.89 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $524.81 | Facility | None | $77.62 | $123.03 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $66.07 | Professional | None (both parts) | $26.92 | $31.62 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $10.47 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $21.38 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $15.85 Median $29.51 Typical High $72.44 | Professional | None (both parts) | $15.85 | $29.51 | $72.44 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $8.13 | $11.75 | $22.91 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $16.22 | $24.55 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $25.70 | $30.20 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $10.47 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $19.95 | $39.81 |
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 $8.91 Median $12.02 Typical High $14.79 | Professional | 52 · Reduced service | $8.91 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.79 Typical High $6.03 | Professional | 53 · Discontinued | $3.63 | $4.79 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | FX · Film X-ray | $14.45 | $19.05 | $19.05 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $46.77 Typical High $81.28 | Professional | 50 · Both sides | $32.36 | $46.77 | $81.28 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$31.62
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.