How much rates vary
Facilitymedian $1,096 · 10th to 90th $851 to $2,692Professionalmedian $437 · 10th to 90th $309 to $741
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 $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $323.59 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,344.23 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $389.05 Typical High $707.95 | Professional | None (both parts) | $281.84 | $389.05 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $107.15 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $269.15 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $363.08 | $380.19 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $97.72 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $275.42 | $741.31 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $323.59 | $489.78 | $660.69 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $89.13 | $109.65 | $151.36 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $354.81 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Facility | None | $851.14 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $323.59 | $602.56 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $239.88 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $288.40 | $537.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $114.82 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $398.11 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $398.11 | $549.54 |
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 $426.58 Median $562.34 Typical High $831.76 | Professional | 50 · Both sides | $426.58 | $562.34 | $831.76 |
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· 20th of 51
$490
WY $1,047UT $191
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.