How much rates vary
Facilitymedian $759 · 10th to 90th $479 to $1,778Professionalmedian $191 · 10th to 90th $112 to $372
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 $77.62 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $77.62 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $27.54 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $77.62 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $831.76 | Facility | None | $602.56 | $831.76 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $131.83 | $190.55 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $40.74 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $2,187.76 | Facility | None | $478.63 | $676.08 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $128.82 | $177.83 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $141.25 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $144.54 | $229.09 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $47.86 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $173.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $128.82 | $173.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $38.90 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $138.04 | $245.47 |
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 $38.90 Median $52.48 Typical High $95.50 | Professional | 52 · Reduced service | $38.90 | $52.48 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $21.38 Typical High $38.90 | Professional | 53 · Discontinued | $15.49 | $21.38 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $61.66 | $85.11 | $93.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $288.40 Typical High $501.19 | Professional | 50 · Both sides | $199.53 | $288.40 | $501.19 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$191
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.