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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $123.03 | $173.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $58.88 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $114.82 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $812.83 | Facility | None | $346.74 | $478.63 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $147.91 | $213.80 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $61.66 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $100.00 | $144.54 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $186.21 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $138.04 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $165.96 | $204.17 | $309.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $60.26 | $95.50 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $144.54 | $208.93 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $123.03 | $173.78 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $58.88 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $114.82 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $144.54 | $204.17 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $53.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $154.88 | $213.80 |
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 $58.88 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $58.88 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $97.72 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $87.10 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $34.67 | $34.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $97.72 | $141.25 | $141.25 |
Where Maine sits
The same service costs 4.3 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
$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.