How much rates vary
Facilitymedian $380 · 10th to 90th $158 to $794Professionalmedian $174 · 10th to 90th $132 to $269
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $123.03 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $51.29 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $107.15 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $794.33 | Facility | None | $346.74 | $478.63 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $134.90 | $190.55 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $54.95 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $131.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $169.82 | $177.83 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $52.48 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $100.00 | $125.89 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $141.25 | $173.78 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $54.95 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $123.03 | $190.55 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | 26 · Professional part | $5,888.44 | $5,888.44 | $5,888.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $123.03 | $158.49 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $51.29 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $107.15 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $131.83 | $173.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $51.29 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $123.03 | $199.53 |
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 $50.12 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $20.42 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $97.72 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $97.72 | $125.89 | $125.89 |
Where Maine sits
The same service costs 3.9 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· 18th of 51
$174
AK $407UT $105
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.