How much rates vary
Facilitymedian $117 · 10th to 90th $110 to $437Professionalmedian $123 · 10th to 90th $91 to $186
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 $109.65 Median $109.65 Typical High $114.82 | Facility | None | $109.65 | $109.65 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $91.20 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $33.88 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $75.86 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $575.44 | Facility | None | $245.47 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $85.11 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $38.02 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $120.23 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $34.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $89.13 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $102.33 | $120.23 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $35.48 | $56.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $93.33 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | None | $109.65 | $109.65 | $117.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $93.33 | $109.65 | $177.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $33.88 | $48.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $75.86 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $91.20 | $120.23 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $33.88 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $87.10 | $141.25 |
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 $34.67 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $74.13 | $87.10 | $87.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $74.13 | $87.10 | $87.10 |
Where Maine sits
The same service costs 3.8 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· 17th of 51
$123
AK $282UT $74.13
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.