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 $31.62 Median $31.62 Typical High $35.48 | Facility | None | $31.62 | $31.62 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $27.54 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.71 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $22.39 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $162.18 | Facility | None | $70.79 | $97.72 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $28.18 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $10.00 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $26.30 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $34.67 | $36.31 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $9.12 | $9.33 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $25.70 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $30.90 | $36.31 | $57.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $10.96 | $14.79 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $28.84 | $40.74 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $4,073.80 | Facility | None | $31.62 | $33.88 | $4,073.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $27.54 | $31.62 | $53.70 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $8.71 | $14.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $22.39 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $25.70 | $35.48 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $10.96 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $23.99 | $41.69 |
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 $10.00 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $10.00 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.07 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $60.26 Typical High $81.28 | Professional | 50 · Both sides | $42.66 | $60.26 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.80 | $15.49 | $15.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $25.12 | $25.12 |
Where Maine sits
The same service costs 3.7 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
$35.48
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.