How much rates vary
Facilitymedian $148 · 10th to 90th $31 to $257Professionalmedian $56 · 10th to 90th $32 to $107
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 $30.90 Median $31.62 Typical High $58.88 | Facility | None | $30.90 | $31.62 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $95.50 | Professional | None (both parts) | $24.55 | $31.62 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.61 Typical High $16.98 | Professional | 26 · Professional part | $5.37 | $6.61 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $75.86 | Professional | TC · Technical part | $19.50 | $25.12 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $97.72 | Professional | None (both parts) | $32.36 | $42.66 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $251.19 | Facility | None | $177.83 | $245.47 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $39.81 | $56.23 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $9.55 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $32.36 | $46.77 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $524.81 | Facility | None | $147.91 | $218.78 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $117.49 | Professional | None (both parts) | $38.02 | $52.48 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $19.95 | Professional | 26 · Professional part | $8.13 | $9.55 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $45.71 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $43.65 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $43.65 | $66.07 | $141.25 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $7.41 | $11.22 | $21.38 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $54.95 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $85.11 | Professional | None (both parts) | $28.84 | $48.98 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $9.55 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $28.84 | $39.81 | $69.18 |
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 $12.30 Median $15.85 Typical High $26.30 | Professional | 52 · Reduced service | $12.30 | $15.85 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.46 Typical High $10.47 | Professional | 53 · Discontinued | $4.90 | $6.46 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $25.70 Typical High $28.18 | Professional | FX · Film X-ray | $19.50 | $25.70 | $28.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $85.11 Typical High $147.91 | Professional | 50 · Both sides | $58.88 | $85.11 | $147.91 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$56.23
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.