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 $426.58 Median $426.58 Typical High $1,412.54 | Facility | None | $426.58 | $426.58 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $1,096.48 | Professional | None (both parts) | $407.38 | $426.58 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $117.49 | $128.82 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $295.12 | $758.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $275.42 | $275.42 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,513.56 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $724.44 Typical High $1,318.26 | Professional | None (both parts) | $338.84 | $724.44 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $218.78 Typical High $380.19 | Professional | 26 · Professional part | $102.33 | $218.78 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $501.19 Typical High $870.96 | Professional | TC · Technical part | $234.42 | $501.19 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,951.21 Typical High $6,025.60 | Facility | None | $724.44 | $2,951.21 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $1,621.81 | Professional | None (both parts) | $457.09 | $549.54 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $309.03 | Professional | 26 · Professional part | $128.82 | $151.36 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $1,230.27 | Professional | TC · Technical part | $323.59 | $389.05 | $1,230.27 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $380.19 | $630.96 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $346.74 | Professional | 26 · Professional part | $112.20 | $173.78 | $346.74 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $426.58 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $489.78 | $707.95 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $346.74 | Professional | 26 · Professional part | $112.20 | $147.91 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $354.81 | $457.09 | $1,230.27 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | TC · Technical part | $363.08 | $363.08 | $426.58 |
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 $363.08 | Professional | 52 · Reduced service | $186.21 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $144.54 | Professional | 53 · Discontinued | $74.13 | $85.11 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $575.44 | Professional | FX · Film X-ray | $323.59 | $338.84 | $575.44 |
Where New Hampshire 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.
New Hampshire· 10th of 51
$724
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.