How much rates vary
Facilitymedian $49 · 10th to 90th $40 to $200Professionalmedian $47 · 10th to 90th $34 to $76
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 $54.95 | Facility | None | $39.81 | $39.81 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $32.36 | $39.81 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $6.61 | $7.94 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $32.36 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $194.98 | Facility | None | $85.11 | $117.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $36.31 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $6.61 | $9.33 | $12.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $43.65 | $46.77 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $8.32 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $27.54 | $38.02 | $72.44 |
Community Health Options Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $36.31 | $48.98 | $77.62 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $9.55 | $13.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $40.74 | $74.13 |
Martin's Point Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $5,623.41 | Facility | None | $39.81 | $46.77 | $5,623.41 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $74.13 | Professional | None (both parts) | $32.36 | $39.81 | $74.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $6.61 | $7.94 | $13.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $32.36 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $33.11 | $42.66 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $61.66 | Professional | TC · Technical part | $26.30 | $33.11 | $61.66 |
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 $12.30 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $12.30 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $4.90 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $25.70 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $54.95 Median $81.28 Typical High $109.65 | Professional | 50 · Both sides | $54.95 | $81.28 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $15.85 | $19.95 | $19.95 |
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 $25.70 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $25.70 | $32.36 | $32.36 |
Where Maine sits
The same service costs 11.5 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
$46.77
VT $339FL $29.51
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.