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 $28.18 Median $28.18 Typical High $74.13 | Facility | None | $28.18 | $28.18 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.18 Typical High $81.28 | Professional | None (both parts) | $20.42 | $28.18 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $20.42 | Professional | 26 · Professional part | $6.31 | $7.94 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $60.26 | Professional | TC · Technical part | $14.13 | $19.95 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $26.30 | Professional | 26 · Professional part | $6.46 | $6.46 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $199.53 | Facility | None | $141.25 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $31.62 | $45.71 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.48 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $33.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $162.18 Typical High $645.65 | Facility | None | $109.65 | $162.18 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $34.67 | $44.67 | $95.50 |
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 $25.12 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $25.12 | $33.88 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $33.11 | $52.48 | $112.20 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $13.80 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $38.90 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $30.90 | $40.74 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.22 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $30.20 | $52.48 |
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 $10.23 Median $14.13 Typical High $21.88 | Professional | 52 · Reduced service | $10.23 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.62 Typical High $8.71 | Professional | 53 · Discontinued | $4.07 | $5.62 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $22.39 Typical High $23.44 | Professional | FX · Film X-ray | $16.22 | $22.39 | $23.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $67.61 Typical High $117.49 | Professional | 50 · Both sides | $46.77 | $67.61 | $117.49 |
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· 14th of 51
$45.71
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.