How much rates vary
Facilitymedian $389 · 10th to 90th $282 to $661Professionalmedian $151 · 10th to 90th $112 to $251
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 Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $104.71 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $24.55 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $112.20 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $660.69 | Facility | None | $281.84 | $389.05 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $112.20 | $151.36 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $35.48 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $144.54 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $151.36 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $134.90 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $128.82 | $165.96 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $39.81 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $128.82 | $204.17 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $107.15 | $144.54 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $27.54 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $112.20 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $120.23 | $147.91 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $40.74 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $109.65 | $208.93 |
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 $40.74 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $40.74 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $16.22 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $85.11 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $263.03 Typical High $363.08 | Professional | 50 · Both sides | $186.21 | $263.03 | $363.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $85.11 | $117.49 | $117.49 |
Where Maine sits
The same service costs 3.9 times more in Alaska than in New York. 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· 20th of 51
$155
AK $380NY $97.72
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.