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 $91.20 Median $91.20 Typical High $239.88 | Facility | None | $91.20 | $91.20 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $229.09 | Professional | None (both parts) | $69.18 | $91.20 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $67.61 | Professional | 26 · Professional part | $16.98 | $22.39 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $52.48 | $69.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $588.84 | Facility | None | $426.58 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $93.33 | $134.90 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $39.81 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $95.50 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $1,071.52 | Facility | None | $338.84 | $524.81 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $109.65 | $138.04 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $39.81 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $79.43 | $97.72 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $338.84 | Professional | None (both parts) | $102.33 | $162.18 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $47.86 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $114.82 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $89.13 | $131.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $39.81 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $95.50 | $173.78 |
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 $34.67 Median $45.71 Typical High $70.79 | Professional | 52 · Reduced service | $34.67 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.20 Typical High $28.18 | Professional | 53 · Discontinued | $14.13 | $18.20 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $74.13 Typical High $75.86 | Professional | FX · Film X-ray | $56.23 | $74.13 | $75.86 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$135
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.