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 Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $630.96 | Facility | None | $269.15 | $371.54 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $95.50 | $138.04 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $36.31 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $102.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $131.83 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $107.15 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $117.49 | $138.04 | $199.53 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $38.02 | $51.29 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $102.33 | $138.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $89.13 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $104.71 | $131.83 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $40.74 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $93.33 | $154.88 |
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 $38.90 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $38.90 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $15.49 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $79.43 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $208.93 Typical High $288.40 | Professional | 50 · Both sides | $144.54 | $208.93 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $79.43 | $102.33 | $102.33 |
Where Maine sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 21st of 51
$135
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.