How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $3,388Professionalmedian $603 · 10th to 90th $437 to $1,023
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 $602.56 Typical High $1,096.48 | Facility | None | $602.56 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $426.58 | $602.56 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $165.96 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $302.00 | $436.52 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,137.96 | $2,951.21 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $407.38 | $575.44 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $281.84 | $407.38 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $537.03 | $562.34 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $251.19 | Professional | 26 · Professional part | $120.23 | $131.83 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $426.58 Typical High $1,047.13 | Professional | TC · Technical part | $407.38 | $426.58 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $812.83 | Professional | None (both parts) | $478.63 | $616.60 | $812.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $204.17 | Professional | 26 · Professional part | $120.23 | $147.91 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $616.60 | Professional | TC · Technical part | $354.81 | $457.09 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $1,174.90 | Facility | None | $602.56 | $1,096.48 | $1,174.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $478.63 | $602.56 | $933.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $165.96 | $234.42 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $338.84 | $436.52 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $933.25 | Professional | None (both parts) | $426.58 | $630.96 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $154.88 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $478.63 | $724.44 |
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 $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Aetna 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 |
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 $602.56 Median $851.14 Typical High $1,230.27 | Professional | 50 · Both sides | $602.56 | $851.14 | $1,230.27 |
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 $81.28 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $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 6.0 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· 25th of 51
$603
WY $1,549UT $257
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.