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 $426.58 Median $426.58 Typical High $660.69 | Facility | None | $426.58 | $426.58 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $380.19 | $478.63 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $128.82 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $288.40 | $331.13 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $741.31 | Professional | None (both parts) | $251.19 | $251.19 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,380.38 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $645.65 Typical High $1,122.02 | Professional | None (both parts) | $302.00 | $645.65 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $134.90 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $512.86 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $512.86 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $3,162.28 | Facility | None | $724.44 | $1,995.26 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $1,230.27 | Professional | None (both parts) | $407.38 | $489.78 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $91.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $389.05 Typical High $1,047.13 | Professional | TC · Technical part | $331.13 | $389.05 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $1,096.48 | Professional | None (both parts) | $338.84 | $549.54 | $1,096.48 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $107.15 | $208.93 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $436.52 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $549.54 Typical High $1,148.15 | Professional | None (both parts) | $446.68 | $549.54 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $91.20 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $436.52 Typical High $933.25 | Professional | TC · Technical part | $363.08 | $436.52 | $933.25 |
Well Sense Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
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 $186.21 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $977.24 Typical High $1,698.24 | Professional | 50 · Both sides | $457.09 | $977.24 | $1,698.24 |
Where New Hampshire sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 9th of 51
$617
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.