How much rates vary
Facilitymedian $427 · 10th to 90th $83 to $977Professionalmedian $115 · 10th to 90th $83 to $372
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 Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $83.18 | $102.33 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $28.84 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $67.61 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $977.24 | Facility | None | $426.58 | $588.84 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $77.62 | $112.20 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $32.36 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $72.44 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $95.50 | $100.00 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $69.18 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $524.81 | Professional | None (both parts) | $83.18 | $131.83 | $524.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $30.90 | $48.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $501.19 | Professional | TC · Technical part | $54.95 | $93.33 | $501.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $83.18 | $102.33 | $208.93 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $28.84 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $54.95 | $69.18 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $158.49 Typical High $588.84 | Professional | None (both parts) | $69.18 | $158.49 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $112.20 Typical High $562.34 | Professional | TC · Technical part | $44.67 | $112.20 | $562.34 |
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 $41.69 Median $41.69 Typical High $93.33 | Professional | 52 · Reduced service | $41.69 | $41.69 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $37.15 | Professional | 53 · Discontinued | $16.60 | $16.60 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $147.91 | Professional | FX · Film X-ray | $67.61 | $67.61 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $93.33 | Professional | 52 · Reduced service | $41.69 | $41.69 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $37.15 | Professional | 53 · Discontinued | $16.60 | $16.60 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $147.91 | Professional | FX · Film X-ray | $67.61 | $67.61 | $147.91 |
Where Maine sits
The same service costs 5.4 times more in New York than in Texas. 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· 31st of 51
$115
NY $355TX $66.07
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.