How much rates vary
Facilitymedian $123 · 10th to 90th $31 to $224Professionalmedian $50 · 10th to 90th $31 to $98
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 $30.90 Median $30.90 Typical High $53.70 | Facility | None | $30.90 | $30.90 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $89.13 | Professional | None (both parts) | $22.91 | $30.90 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $20.42 | Professional | 26 · Professional part | $6.92 | $9.12 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $67.61 | Professional | TC · Technical part | $16.60 | $21.88 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $85.11 | Professional | None (both parts) | $23.99 | $35.48 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $26.30 | Professional | 26 · Professional part | $6.46 | $10.23 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $218.78 | Facility | None | $154.88 | $213.80 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $34.67 | $50.12 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $11.48 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $26.30 | $38.02 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $524.81 | Facility | None | $123.03 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $37.15 | $47.86 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $79.43 | Professional | TC · Technical part | $28.18 | $38.02 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $36.31 | $58.88 | $123.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $13.49 | $25.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $43.65 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $33.88 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $35.48 | $60.26 |
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 $11.48 Median $15.49 Typical High $23.99 | Professional | 52 · Reduced service | $11.48 | $15.49 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.17 Typical High $9.55 | Professional | 53 · Discontinued | $4.57 | $6.17 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $24.55 | $26.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $74.13 Typical High $128.82 | Professional | 50 · Both sides | $51.29 | $74.13 | $128.82 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$50.12
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.