How much rates vary
Facilitymedian $129 · 10th to 90th $28 to $182Professionalmedian $42 · 10th to 90th $28 to $83
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 $28.18 Median $28.18 Typical High $47.86 | Facility | None | $28.18 | $28.18 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $28.18 Typical High $75.86 | Professional | None (both parts) | $19.95 | $28.18 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $19.50 | Professional | 26 · Professional part | $6.31 | $7.94 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.42 Typical High $56.23 | Professional | TC · Technical part | $13.80 | $20.42 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $70.79 | Professional | None (both parts) | $23.99 | $23.99 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.77 Typical High $11.22 | Professional | 26 · Professional part | $6.17 | $9.77 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $181.97 | Facility | None | $128.82 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $28.84 | $41.69 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $10.96 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $30.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $524.81 | Facility | None | $102.33 | $165.96 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $89.13 | Professional | None (both parts) | $34.67 | $42.66 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $10.96 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $25.70 | $31.62 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $31.62 | $51.29 | $104.71 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $24.55 | Professional | 26 · Professional part | $8.51 | $13.18 | $24.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $23.44 | $37.15 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $29.51 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $28.84 | $48.98 |
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 $10.00 Median $14.13 Typical High $20.42 | Professional | 52 · Reduced service | $10.00 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.62 Typical High $8.13 | Professional | 53 · Discontinued | $3.98 | $5.62 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $16.22 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $63.10 Typical High $109.65 | Professional | 50 · Both sides | $43.65 | $63.10 | $109.65 |
Where New Hampshire sits
The same service costs 11.2 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.
New Hampshire· 16th of 51
$41.69
VT $263FL $23.44
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.