How much rates vary
Facilitymedian $437 · 10th to 90th $132 to $813Professionalmedian $302 · 10th to 90th $234 to $501
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 Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $186.21 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $165.96 | $165.96 |
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 $251.19 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $251.19 | $323.59 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $123.03 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $177.83 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $1,023.29 | Facility | None | $109.65 | $158.49 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $257.04 | $323.59 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $123.03 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $204.17 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $234.42 | $346.74 | $537.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $128.82 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $218.78 | $346.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $190.55 | $281.84 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $89.13 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $204.17 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $102.33 | $125.89 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $147.91 | $239.88 |
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 $93.33 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $158.49 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $169.82 | $223.87 | $223.87 |
Where Maine sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$302
AK $741TX $138
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.