How much rates vary
Facilitymedian $42 · 10th to 90th $37 to $195Professionalmedian $43 · 10th to 90th $33 to $66
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 $37.15 Median $37.15 Typical High $47.86 | Facility | None | $37.15 | $37.15 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $33.11 | $37.15 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $27.54 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $194.98 | Facility | None | $85.11 | $117.49 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $33.88 | $47.86 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $11.22 | $15.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $41.69 | $42.66 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $33.11 | $58.88 |
Community Health Options Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $25.70 | $39.81 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $34.67 | $42.66 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $11.48 | $16.22 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $32.36 | $53.70 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $4,786.30 | Facility | None | $37.15 | $40.74 | $4,786.30 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $33.11 | $37.15 | $63.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $27.54 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $30.90 | $38.90 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $12.02 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $28.18 | $52.48 |
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 $11.22 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $11.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $29.51 | $29.51 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $72.44 Typical High $97.72 | Professional | 50 · Both sides | $50.12 | $72.44 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.22 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.41 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $29.51 | $29.51 |
Where Maine sits
The same service costs 15.1 times more in Vermont 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· 20th of 51
$42.66
VT $407FL $26.92
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.