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 Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $81.28 | Facility | None | $48.98 | $60.26 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $100.00 | Professional | None (both parts) | $34.67 | $48.98 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $33.11 | Professional | 26 · Professional part | $11.75 | $15.49 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $67.61 | Professional | TC · Technical part | $22.39 | $33.88 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $309.03 | Facility | None | $223.87 | $309.03 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $48.98 | $70.79 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $21.88 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $50.12 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $645.65 | Facility | None | $162.18 | $269.15 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $151.36 | Professional | None (both parts) | $58.88 | $70.79 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $21.38 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $51.29 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $44.67 Median $81.28 Typical High $173.78 | Professional | None (both parts) | $44.67 | $81.28 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $25.12 | $47.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $58.88 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $50.12 | $66.07 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $21.38 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $45.71 | $79.43 |
3 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 $24.55 Typical High $34.67 | Professional | 52 · Reduced service | $17.38 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.77 Typical High $13.80 | Professional | 53 · Discontinued | $6.92 | $9.77 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $27.54 | $38.90 | $38.90 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$70.79
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.