How much rates vary
Facilitymedian $39 · 10th to 90th $34 to $170Professionalmedian $39 · 10th to 90th $29 to $62
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 $33.88 Median $33.88 Typical High $38.90 | Facility | None | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $9.55 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $24.55 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $169.82 | Facility | None | $72.44 | $100.00 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $31.62 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $11.22 | $15.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $54.95 Typical High $91.20 | Professional | 50 · Both sides | $37.15 | $54.95 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $37.15 | $38.90 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $28.84 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $30.90 | $42.66 | $64.57 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.33 | $11.48 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $29.51 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $4,466.84 | Facility | None | $33.88 | $38.02 | $4,466.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $9.55 | $14.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $24.55 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $28.18 | $35.48 | $61.66 |
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 $19.95 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $24.55 | $46.77 |
6 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 $10.23 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $10.23 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $4.07 | $6.76 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.13 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $6.76 | $6.76 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $27.54 | $27.54 |
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· 20th of 51
$38.90
AK $91.20FL $24.55
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.