How much rates vary
Facilitymedian $269 · 10th to 90th $46 to $562Professionalmedian $51 · 10th to 90th $42 to $83
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $41.69 | $45.71 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $13.49 | $18.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $27.54 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $562.34 | Facility | None | $239.88 | $331.13 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $36.31 | $58.88 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $19.95 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $36.31 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $102.33 | Professional | None (both parts) | $50.12 | $53.70 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $18.62 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $77.62 | Professional | TC · Technical part | $32.36 | $33.88 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | None (both parts) | $40.74 | $52.48 | $85.11 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $21.88 | $30.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $53.70 | Professional | TC · Technical part | $25.70 | $33.11 | $53.70 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $45.71 | $45.71 | $83.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $13.49 | $18.20 | $30.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $27.54 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $38.02 | $51.29 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $22.91 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $29.51 | $53.70 |
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 $14.45 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $5.75 | $9.12 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $34.67 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.32 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $31.62 | $36.31 | $36.31 |
Where Maine sits
The same service costs 3.8 times more in Alaska than in New York. 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· 36th of 51
$51.29
AK $115NY $30.20
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.