How much rates vary
Facilitymedian $324 · 10th to 90th $145 to $676Professionalmedian $166 · 10th to 90th $117 to $257
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $97.72 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $112.20 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $407.38 Typical High $676.08 | Facility | None | $288.40 | $407.38 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $128.82 | $186.21 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $38.02 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $138.04 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $151.36 | $173.78 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $138.04 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $128.82 | $165.96 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $38.90 | $53.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $131.83 | $204.17 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $97.72 | $144.54 | $144.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $112.20 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $117.49 | $144.54 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $40.74 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $109.65 | $213.80 |
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 $42.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $42.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $16.98 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $89.13 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $275.42 Typical High $389.05 | Professional | 50 · Both sides | $190.55 | $275.42 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $89.13 | $114.82 | $114.82 |
Where Maine sits
The same service costs 4.2 times more in Alaska than in New York. 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· 17th of 51
$166
AK $398NY $95.50
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.