How much rates vary
Facilitymedian $1,096 · 10th to 90th $288 to $2,188Professionalmedian $331 · 10th to 90th $234 to $603
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $251.19 Median $602.56 Typical High $1,096.48 | Facility | None | $251.19 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $251.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $147.91 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $346.74 | $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 $218.78 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $218.78 | $295.12 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $89.13 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $199.53 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $776.25 | Professional | None (both parts) | $275.42 | $288.40 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $83.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $199.53 | $630.96 |
Community Health Options Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $309.03 | $309.03 | $436.52 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $245.47 | $309.03 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $91.20 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $218.78 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $707.95 Typical High $1,096.48 | Facility | None | $245.47 | $707.95 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $251.19 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $251.19 | $549.54 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $154.88 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $371.54 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $213.80 | $323.59 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $97.72 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $223.87 | $338.84 |
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 $323.59 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $436.52 Typical High $660.69 | Professional | 50 · Both sides | $331.13 | $436.52 | $660.69 |
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 $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $323.59 | $478.63 | $478.63 |
Where Maine sits
The same service costs 13.5 times more in Vermont 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· 29th of 51
$355
VT $2,089UT $155
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.