How much rates vary
Facilitymedian $562 · 10th to 90th $407 to $955Professionalmedian $126 · 10th to 90th $25 to $224
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 $87.10 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $87.10 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $954.99 | Facility | None | $407.38 | $562.34 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $177.83 | Professional | None (both parts) | $25.12 | $25.12 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $21.38 | $104.71 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $123.03 | $125.89 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $95.50 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $138.04 | $173.78 | $269.15 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $33.11 | $47.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $141.25 | $223.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $100.00 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $75.86 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $125.89 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $33.11 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $131.83 | $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 $43.65 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $97.72 | $97.72 |
Where Maine sits
The same service costs 4.0 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· 29th of 51
$126
AK $302FL $75.86
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.