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 $645.65 | Professional | None (both parts) | $371.54 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $295.12 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,862.09 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $302.00 | $645.65 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $169.82 Typical High $295.12 | Professional | 26 · Professional part | $79.43 | $169.82 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $467.74 Typical High $831.76 | Professional | TC · Technical part | $218.78 | $467.74 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $3,801.89 | Facility | None | $724.44 | $2,884.03 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $407.38 | $489.78 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $117.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $1,122.02 | Professional | TC · Technical part | $302.00 | $371.54 | $1,122.02 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $331.13 Median $575.44 Typical High $1,230.27 | Professional | None (both parts) | $331.13 | $575.44 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $138.04 | $269.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $794.33 | Professional | TC · Technical part | $245.47 | $416.87 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $588.84 Typical High $1,412.54 | Professional | None (both parts) | $446.68 | $588.84 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $117.49 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $1,148.15 | Professional | TC · Technical part | $338.84 | $436.52 | $1,148.15 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $398.11 | Facility | TC · Technical part | $338.84 | $338.84 | $398.11 |
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 $186.21 Median $213.80 Typical High $323.59 | Professional | 52 · Reduced service | $186.21 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $128.82 | Professional | 53 · Discontinued | $74.13 | $85.11 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $512.86 | Professional | FX · Film X-ray | $323.59 | $338.84 | $512.86 |
Where New Hampshire sits
The same service costs 5.6 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· 9th of 51
$646
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.