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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $114.82 | $134.90 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $45.71 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $91.20 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $660.69 | Facility | None | $281.84 | $389.05 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $123.03 | $169.82 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $147.91 | $158.49 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $109.65 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $128.82 | $154.88 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $50.12 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $107.15 | $173.78 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $147.91 | Facility | None | $134.90 | $134.90 | $147.91 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $114.82 | $134.90 | $223.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $45.71 | $75.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $91.20 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $112.20 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $50.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $104.71 | $173.78 |
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 $44.67 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $44.67 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $17.78 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $22.91 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $109.65 | $109.65 |
Where Maine sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 19th of 51
$155
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.