How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $2,692Professionalmedian $513 · 10th to 90th $372 to $776
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 $602.56 Median $707.95 Typical High $1,096.48 | Facility | None | $602.56 | $707.95 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $389.05 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $151.36 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $288.40 | $436.52 | $478.63 |
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 $331.13 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $331.13 | $457.09 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $107.15 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $239.88 | $338.84 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $977.24 | Professional | None (both parts) | $436.52 | $457.09 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $100.00 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $758.58 | Professional | TC · Technical part | $331.13 | $346.74 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $389.05 | $489.78 | $660.69 |
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 $295.12 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $295.12 | $380.19 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,096.48 | Facility | None | $602.56 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $389.05 | $602.56 | $724.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $162.18 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $436.52 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $338.84 | $512.86 | $707.95 |
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 $263.03 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $398.11 | $575.44 |
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 $489.78 Median $676.08 Typical High $1,000.00 | Professional | 50 · Both sides | $489.78 | $676.08 | $1,000.00 |
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 Texas. 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· 25th of 51
$513
WY $1,259TX $234
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.