How much rates vary
Facilitymedian $110 · 10th to 90th $79 to $186Professionalmedian $35 · 10th to 90th $9 to $78
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 $25.12 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $25.12 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $12.02 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $16.60 | $22.39 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Facility | None | $79.43 | $109.65 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $48.98 | Professional | None (both parts) | $9.33 | $9.33 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $13.80 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $28.84 Typical High $38.90 | Professional | TC · Technical part | $11.48 | $28.84 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $35.48 | $35.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $12.30 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $22.91 | $41.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $33.11 | $54.95 | $87.10 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $11.48 | $14.13 | $19.50 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $21.38 | $43.65 | $69.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $28.84 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $12.02 | $18.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $18.62 | $22.39 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $51.29 | $69.18 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $14.79 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $53.70 | $89.13 |
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 $12.02 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.90 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $23.99 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.45 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $5.75 | $6.92 | $6.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $21.88 | $27.54 | $27.54 |
Where Maine sits
The same service costs 4.7 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· 40th of 51
$35.48
AK $110FL $23.44
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.