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 Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $426.58 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $107.15 | $128.82 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $812.83 | Professional | TC · Technical part | $281.84 | $295.12 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,479.11 | $2,041.74 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $707.95 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $707.95 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $74.13 | $158.49 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,951.21 Typical High $3,630.78 | Facility | None | $724.44 | $2,951.21 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $446.68 | $524.81 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $112.20 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $1,122.02 | Professional | TC · Technical part | $346.74 | $407.38 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,230.27 | Professional | None (both parts) | $363.08 | $616.60 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $128.82 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $281.84 | $467.74 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $588.84 Typical High $1,258.93 | Professional | None (both parts) | $489.78 | $588.84 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $109.65 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $389.05 | $501.19 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
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 $489.78 Median $1,047.13 Typical High $1,862.09 | Professional | 50 · Both sides | $489.78 | $1,047.13 | $1,862.09 |
Where New Hampshire 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.
New Hampshire· 7th of 51
$708
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.