How much rates vary
Facilitymedian $48 · 10th to 90th $38 to $178Professionalmedian $43 · 10th to 90th $32 to $69
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 $38.02 Median $38.02 Typical High $47.86 | Facility | None | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $30.90 | $38.02 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $28.18 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $177.83 | Facility | None | $75.86 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $33.88 | $48.98 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $11.22 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $25.70 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $39.81 | $42.66 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $10.23 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $32.36 | $58.88 |
Community Health Options Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $36.31 | $42.66 | $69.18 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $11.48 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $33.11 | $52.48 |
Martin's Point Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $4,897.79 | Facility | None | $38.02 | $41.69 | $4,897.79 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $31.62 | $38.02 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $9.55 | $16.60 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $28.18 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $30.90 | $41.69 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $30.20 | $52.48 |
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 $12.02 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $12.02 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $4.79 | $7.59 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | 50 · Both sides | $51.29 | $72.44 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.59 | $7.59 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $30.20 | $30.20 |
Where Maine sits
The same service costs 12.9 times more in Vermont than in Florida. 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· 19th of 51
$42.66
VT $347FL $26.92
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.