How much rates vary
Facilitymedian $40 · 10th to 90th $35 to $170Professionalmedian $40 · 10th to 90th $30 to $65
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 $35.48 Median $35.48 Typical High $39.81 | Facility | None | $35.48 | $35.48 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $29.51 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.59 | $9.55 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $26.30 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $169.82 | Facility | None | $72.44 | $100.00 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $32.36 | $42.66 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.72 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $35.48 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $38.02 | $39.81 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $9.55 | $9.55 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $30.20 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $32.36 | $40.74 | $66.07 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $11.48 | $15.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $34.67 | $46.77 |
Martin's Point Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $4,570.88 | Facility | None | $35.48 | $38.90 | $4,570.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $29.51 | $35.48 | $60.26 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $9.55 | $16.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $26.30 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $29.51 | $40.74 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $12.02 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $28.18 | $50.12 |
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 $11.75 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $22.91 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $67.61 Typical High $93.33 | Professional | 50 · Both sides | $48.98 | $67.61 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $22.91 | $28.84 | $28.84 |
Where Maine sits
The same service costs 3.8 times more in Alaska 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· 21st of 51
$39.81
AK $95.50FL $25.12
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.