How much rates vary
Facilitymedian $372 · 10th to 90th $263 to $617Professionalmedian $115 · 10th to 90th $25 to $245
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 $81.28 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $81.28 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $616.60 | Facility | None | $263.03 | $371.54 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $169.82 | Professional | None (both parts) | $24.55 | $24.55 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $33.11 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $20.89 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $79.43 | $79.43 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $51.29 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $165.96 | $199.53 | $309.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $36.31 | $53.70 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $169.82 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $69.18 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $45.71 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $154.88 | $199.53 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $43.65 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $151.36 | $204.17 |
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 $38.02 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.14 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $64.57 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $34.67 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $13.80 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $64.57 | $93.33 | $93.33 |
Where Maine sits
The same service costs 6.6 times more in Nebraska 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· 35th of 51
$115
NE $363FL $54.95
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.