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 $77.62 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $77.62 | $100.00 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $63.10 | Professional | 26 · Professional part | $21.38 | $26.92 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $72.44 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $602.56 | Facility | None | $436.52 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $95.50 | $138.04 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $25.12 | $36.31 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $2,187.76 | Facility | None | $398.11 | $630.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $114.82 | $141.25 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $87.10 | $107.15 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $104.71 | $173.78 | $346.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $43.65 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $125.89 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $117.49 | $154.88 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $38.90 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $114.82 | $204.17 |
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 $38.90 Median $50.12 Typical High $83.18 | Professional | 52 · Reduced service | $38.90 | $50.12 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $33.11 | Professional | 53 · Discontinued | $15.49 | $19.95 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $61.66 | $79.43 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $208.93 Typical High $371.54 | Professional | 50 · Both sides | $144.54 | $208.93 | $371.54 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$151
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.