How much rates vary
Facilitymedian $126 · 10th to 90th $55 to $295Professionalmedian $62 · 10th to 90th $46 to $98
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 $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $48.98 | $54.95 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $18.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $33.88 | $36.31 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $295.12 | Facility | None | $125.89 | $173.78 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $48.98 | $70.79 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $32.36 | $47.86 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $61.66 | $63.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $18.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $43.65 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $42.66 | $61.66 | $95.50 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $61.66 | Professional | 26 · Professional part | $18.20 | $22.91 | $61.66 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $42.66 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $7,079.46 | Facility | None | $54.95 | $60.26 | $7,079.46 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $48.98 | $54.95 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $18.20 | $30.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $36.31 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $45.71 | $60.26 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $22.91 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $29.51 | $38.90 | $70.79 |
6 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 $17.38 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $6.92 | $10.96 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $38.90 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $24.55 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.77 | $10.96 | $10.96 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | FX · Film X-ray | $38.02 | $43.65 | $43.65 |
Where Maine sits
The same service costs 4.5 times more in Alaska 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
$61.66
AK $148UT $33.11
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.