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 Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $53.70 | Facility | None | $31.62 | $31.62 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $87.10 | Professional | None (both parts) | $22.91 | $31.62 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.71 Typical High $20.42 | Professional | 26 · Professional part | $6.46 | $8.71 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $67.61 | Professional | TC · Technical part | $16.60 | $22.39 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $218.78 | Facility | None | $154.88 | $213.80 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $34.67 | $50.12 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $12.02 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $37.15 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $524.81 | Facility | None | $123.03 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $37.15 | $47.86 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $37.15 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $56.23 Typical High $123.03 | Professional | None (both parts) | $32.36 | $56.23 | $123.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.80 Typical High $26.92 | Professional | 26 · Professional part | $9.12 | $13.80 | $26.92 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $28.84 | $44.67 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $32.36 | $44.67 | $79.43 |
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 $24.55 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $34.67 | $58.88 |
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 $11.48 Median $15.49 Typical High $23.44 | Professional | 52 · Reduced service | $11.48 | $15.49 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.31 Typical High $9.55 | Professional | 53 · Discontinued | $4.57 | $6.31 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $25.12 Typical High $25.70 | Professional | FX · Film X-ray | $18.20 | $25.12 | $25.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | 50 · Both sides | $51.29 | $74.13 | $128.82 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$50.12
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.