How much rates vary
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 $28.84 Median $28.84 Typical High $54.95 | Facility | None | $28.84 | $28.84 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.84 Typical High $83.18 | Professional | None (both parts) | $21.38 | $28.84 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $19.50 | Professional | 26 · Professional part | $6.31 | $7.94 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $61.66 | Professional | TC · Technical part | $15.85 | $20.89 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | None (both parts) | $19.95 | $19.95 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $204.17 | Facility | None | $144.54 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $32.36 | $46.77 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $11.48 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $35.48 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $524.81 | Facility | None | $114.82 | $173.78 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $97.72 | Professional | None (both parts) | $34.67 | $45.71 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $10.96 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $35.48 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $114.82 | Professional | None (both parts) | $30.20 | $53.70 | $114.82 |
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 $26.92 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $40.74 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $32.36 | $42.66 | $79.43 |
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 $23.44 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $33.11 | $56.23 |
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 $10.72 Median $14.45 Typical High $22.91 | Professional | 52 · Reduced service | $10.72 | $14.45 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.75 Typical High $9.12 | Professional | 53 · Discontinued | $4.27 | $5.75 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $16.98 | $22.91 | $25.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $70.79 Typical High $123.03 | Professional | 50 · Both sides | $48.98 | $70.79 | $123.03 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$46.77
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.