How much rates vary
Facilitymedian $457 · 10th to 90th $331 to $776Professionalmedian $162 · 10th to 90th $120 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 $102.33 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $102.33 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Facility | None | $331.13 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $128.82 | $186.21 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $32.36 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $144.54 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $154.88 | $173.78 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $144.54 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $131.83 | $165.96 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $33.11 | $46.77 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $102.33 | $138.04 | $213.80 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $102.33 | $144.54 | $144.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $120.23 | $147.91 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $34.67 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $117.49 | $229.09 |
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 $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $43.65 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $17.38 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Where Maine sits
The same service costs 4.2 times more in Alaska than in Utah. 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
$166
AK $398UT $95.50
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.