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 Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $371.54 | $426.58 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $128.82 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $295.12 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,174.90 | $1,621.81 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $562.34 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $74.13 | $158.49 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $186.21 | $398.11 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,511.89 Typical High $3,630.78 | Facility | None | $724.44 | $2,511.89 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $426.58 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $109.65 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $933.25 | Professional | TC · Technical part | $257.04 | $309.03 | $933.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $288.40 | $489.78 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $125.89 | $251.19 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $691.83 | Professional | TC · Technical part | $204.17 | $338.84 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,258.93 | Professional | None (both parts) | $380.19 | $549.54 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $109.65 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $1,023.29 | Professional | TC · Technical part | $281.84 | $363.08 | $1,023.29 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $63.10 | Facility | 26 · Professional part | $53.70 | $53.70 | $63.10 |
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 $389.05 Median $831.76 Typical High $1,479.11 | Professional | 50 · Both sides | $389.05 | $831.76 | $1,479.11 |
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· 12th of 51
$562
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.