How much rates vary
Facilitymedian $776 · 10th to 90th $427 to $1,514Professionalmedian $479 · 10th to 90th $263 to $912
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 $346.74 Median $426.58 Typical High $660.69 | Facility | None | $346.74 | $426.58 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $371.54 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $128.82 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,412.54 | Facility | None | $1,000.00 | $1,380.38 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $223.87 | $478.63 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $61.66 | $131.83 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $158.49 | $338.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $3,090.30 | Facility | None | $724.44 | $1,995.26 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $363.08 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $91.20 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $281.84 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $245.47 | $416.87 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $67.61 | $107.15 | $208.93 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $177.83 | $295.12 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $467.74 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $91.20 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $933.25 | Professional | TC · Technical part | $239.88 | $309.03 | $933.25 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $288.40 | Facility | TC · Technical part | $245.47 | $245.47 | $288.40 |
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 $186.21 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $707.95 Typical High $1,258.93 | Professional | 50 · Both sides | $331.13 | $707.95 | $1,258.93 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$479
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.