How much rates vary
Facilitymedian $575 · 10th to 90th $417 to $977Professionalmedian $162 · 10th to 90th $35 to $257
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 $114.82 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $114.82 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $31.62 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $977.24 | Facility | None | $416.87 | $575.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $234.42 | Professional | None (both parts) | $34.67 | $34.67 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $50.12 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $29.51 | $131.83 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $154.88 | $165.96 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $44.67 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $120.23 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $147.91 | $186.21 | $288.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $46.77 | $67.61 |
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 $128.82 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $128.82 | $162.18 | $162.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $95.50 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $134.90 | $177.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $46.77 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $169.82 | Professional | TC · Technical part | $97.72 | $131.83 | $169.82 |
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 $57.54 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $102.33 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $102.33 | $128.82 | $128.82 |
Where Maine sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 22nd of 51
$166
AK $389DC $87.10
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.