How much rates vary
Facilitymedian $47 · 10th to 90th $40 to $200Professionalmedian $46 · 10th to 90th $35 to $72
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 $39.81 Median $39.81 Typical High $52.48 | Facility | None | $39.81 | $39.81 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $33.11 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $10.00 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $25.12 | $29.51 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $199.53 | Facility | None | $85.11 | $117.49 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $70.79 | Professional | None (both parts) | $36.31 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $11.75 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $38.90 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $42.66 | $45.71 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $10.47 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $27.54 | $34.67 | $66.07 |
Community Health Options Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None (both parts) | $38.02 | $38.02 | $39.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $37.15 | $47.86 | $74.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $12.30 | $16.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $37.15 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $5,370.32 | Facility | None | $39.81 | $44.67 | $5,370.32 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $33.11 | $39.81 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $8.32 | $10.00 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $29.51 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $32.36 | $41.69 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $12.59 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $30.20 | $56.23 |
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 $12.02 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.79 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $26.30 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $79.43 Typical High $107.15 | Professional | 50 · Both sides | $53.70 | $79.43 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $26.30 | $31.62 | $31.62 |
Where Maine sits
The same service costs 13.5 times more in Vermont 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
$45.71
VT $389FL $28.84
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.