How much rates vary
Facilitymedian $44 · 10th to 90th $37 to $186Professionalmedian $43 · 10th to 90th $32 to $69
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 $37.15 Median $37.15 Typical High $50.12 | Facility | None | $37.15 | $37.15 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $30.90 | $37.15 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $10.72 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $26.30 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Facility | None | $79.43 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $29.51 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $12.02 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $33.11 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $41.69 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $11.22 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $31.62 | $58.88 |
Community Health Options Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $28.84 | $28.84 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $33.88 | $46.77 | $70.79 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $18.20 | Professional | 26 · Professional part | $10.47 | $12.88 | $18.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $33.11 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $5,128.61 | Facility | None | $37.15 | $42.66 | $5,128.61 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $31.62 | $37.15 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $10.72 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $26.30 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $30.90 | $38.90 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $9.33 | $13.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $26.92 | $51.29 |
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 $11.22 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $11.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.47 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $25.12 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $72.44 Typical High $100.00 | Professional | 50 · Both sides | $48.98 | $72.44 | $100.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $7.41 | $7.41 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $25.12 | $30.20 | $30.20 |
Where Maine sits
The same service costs 15.5 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· 22nd of 51
$42.66
VT $427FL $27.54
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.