How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $3,388Professionalmedian $562 · 10th to 90th $389 to $933
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 $602.56 Median $602.56 Typical High $1,096.48 | Facility | None | $602.56 | $602.56 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $416.87 | $602.56 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $165.96 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $436.52 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,137.96 | $2,951.21 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $363.08 | $501.19 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $102.33 | $147.91 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $338.84 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $1,258.93 | Professional | None (both parts) | $467.74 | $489.78 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $125.89 | $131.83 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $1,071.52 | Professional | TC · Technical part | $331.13 | $346.74 | $1,071.52 |
Community Health Options Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $416.87 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $416.87 | $616.60 | $831.76 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $123.03 | $151.36 | $208.93 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $630.96 | Professional | TC · Technical part | $288.40 | $446.68 | $630.96 |
Martin's Point Setting Facility Modifier None Typical Low $416.87 Median $1,096.48 Typical High $1,174.90 | Facility | None | $416.87 | $1,096.48 | $1,174.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $416.87 | $602.56 | $912.01 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | 26 · Professional part | $117.49 | $165.96 | $204.17 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $676.08 Typical High $891.25 | Professional | None (both parts) | $371.54 | $676.08 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $162.18 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $257.04 | $501.19 | $676.08 |
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 $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 $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $199.53 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $338.84 | $478.63 | $478.63 |
Where Maine sits
The same service costs 5.8 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.
Maine· 24th of 51
$575
WY $1,349UT $234
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.