How much rates vary
Facilitymedian $42 · 10th to 90th $37 to $182Professionalmedian $42 · 10th to 90th $32 to $66
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 $42.66 | Facility | None | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $31.62 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $22.91 | $27.54 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $181.97 | Facility | None | $77.62 | $107.15 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $32.36 | $47.86 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $10.72 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $35.48 | $50.12 |
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 $39.81 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $39.81 | $41.69 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.23 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $32.36 | $58.88 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $34.67 | $42.66 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $12.02 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $32.36 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $4,897.79 | Facility | None | $37.15 | $40.74 | $4,897.79 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $31.62 | $37.15 | $64.57 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.60 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $27.54 | $50.12 |
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 $8.32 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $28.18 | $52.48 |
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 $11.48 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.12 | $29.51 | $29.51 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $70.79 Typical High $97.72 | Professional | 50 · Both sides | $51.29 | $70.79 | $97.72 |
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 $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.12 | $29.51 | $29.51 |
Where Maine 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.
Maine· 21st of 51
$41.69
AK $100FL $26.92
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.