How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $2,188Professionalmedian $417 · 10th to 90th $263 to $676
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 $602.56 Median $707.95 Typical High $1,096.48 | Facility | None | $602.56 | $707.95 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $302.00 | $549.54 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $151.36 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $389.05 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,905.46 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $239.88 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $89.13 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $229.09 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $794.33 | Professional | None (both parts) | $309.03 | $323.59 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $81.28 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $234.42 | $660.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $275.42 | $426.58 | $588.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $91.20 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $302.00 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Facility | None | $707.95 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $309.03 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $309.03 | $549.54 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $239.88 | $467.74 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $95.50 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $371.54 | $501.19 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $478.63 Typical High $707.95 | Professional | 50 · Both sides | $354.81 | $478.63 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 26th of 51
$427
WY $891UT $162
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.