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 $27.54 Median $27.54 Typical High $47.86 | Facility | None | $27.54 | $27.54 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $27.54 Typical High $72.44 | Professional | None (both parts) | $19.95 | $27.54 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.59 Typical High $18.62 | Professional | 26 · Professional part | $5.62 | $7.59 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.95 Typical High $53.70 | Professional | TC · Technical part | $14.45 | $19.95 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None (both parts) | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $181.97 | Facility | None | $128.82 | $177.83 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $28.84 | $41.69 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $7.76 | $10.96 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $30.20 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $524.81 | Facility | None | $97.72 | $158.49 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $85.11 | Professional | None (both parts) | $33.88 | $41.69 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $10.72 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $30.90 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $30.90 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $30.90 | $47.86 | $102.33 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $8.51 | $12.88 | $23.99 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $22.91 | $35.48 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $28.84 | $38.02 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $10.47 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $20.89 | $28.18 | $48.98 |
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 $10.00 Median $13.80 Typical High $19.95 | Professional | 52 · Reduced service | $10.00 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.50 Typical High $7.94 | Professional | 53 · Discontinued | $3.98 | $5.50 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | FX · Film X-ray | $16.22 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $61.66 Typical High $109.65 | Professional | 50 · Both sides | $42.66 | $61.66 | $109.65 |
Where New Hampshire 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.
New Hampshire· 13th of 51
$41.69
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.