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 $123.03 Median $123.03 Typical High $338.84 | Facility | None | $123.03 | $123.03 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $323.59 | Professional | None (both parts) | $100.00 | $123.03 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $97.72 | Professional | 26 · Professional part | $26.30 | $33.88 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $89.13 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $851.14 | Facility | None | $602.56 | $831.76 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $134.90 | $194.98 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $60.26 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $134.90 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,071.52 | Facility | None | $478.63 | $724.44 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $154.88 | $194.98 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $58.88 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $138.04 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $147.91 | $234.42 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $70.79 | $131.83 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $102.33 | $158.49 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $125.89 | $190.55 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $134.90 | $245.47 |
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 $50.12 Median $61.66 Typical High $100.00 | Professional | 52 · Reduced service | $50.12 | $61.66 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $40.74 | Professional | 53 · Discontinued | $20.42 | $24.55 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $81.28 | $97.72 | $109.65 |
Where New Hampshire 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.
New Hampshire· 14th of 51
$195
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.