How much rates vary
Facilitymedian $708 · 10th to 90th $427 to $1,514Professionalmedian $437 · 10th to 90th $229 to $776
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 $426.58 Median $426.58 Typical High $660.69 | Facility | None | $426.58 | $426.58 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $331.13 | $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 $239.88 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $295.12 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $501.19 | Professional | None (both parts) | $144.54 | $169.82 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,288.25 | Facility | None | $912.01 | $1,258.93 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $204.17 | $436.52 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $134.90 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $141.25 | $302.00 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $3,090.30 | Facility | None | $436.52 | $1,513.56 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $275.42 | $331.13 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $93.33 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $234.42 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $223.87 | $380.19 | $741.31 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $107.15 | $208.93 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $257.04 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $288.40 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $93.33 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $204.17 | $263.03 | $524.81 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $52.48 | Facility | 26 · Professional part | $44.67 | $44.67 | $52.48 |
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 $165.96 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $165.96 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $66.07 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $478.63 | Professional | FX · Film X-ray | $263.03 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $309.03 Median $660.69 Typical High $1,148.15 | Professional | 50 · Both sides | $309.03 | $660.69 | $1,148.15 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$437
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.