How much rates vary
Facilitymedian $1,096 · 10th to 90th $851 to $2,692Professionalmedian $537 · 10th to 90th $372 to $813
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 $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $371.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,344.23 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $338.84 | $478.63 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $363.08 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $977.24 | Professional | None (both parts) | $457.09 | $478.63 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $100.00 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $371.54 Typical High $812.83 | Professional | TC · Technical part | $354.81 | $371.54 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $407.38 | $524.81 | $691.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $109.65 | $154.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $549.54 | Professional | TC · Technical part | $316.23 | $416.87 | $549.54 |
Martin's Point Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $407.38 | $602.56 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $295.12 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $363.08 | $549.54 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $117.49 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $426.58 Typical High $616.60 | Professional | TC · Technical part | $281.84 | $426.58 | $616.60 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $707.95 Typical High $1,047.13 | Professional | 50 · Both sides | $501.19 | $707.95 | $1,047.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 5.4 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.
Maine· 23rd of 51
$550
WY $1,318UT $245
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.