How much rates vary
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $28.84 | $61.66 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $33.88 | Professional | 26 · Professional part | $11.75 | $15.49 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $16.98 | $46.77 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $263.03 | Facility | None | $186.21 | $257.04 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $41.69 | $60.26 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $38.02 | Professional | 26 · Professional part | $15.14 | $21.88 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $38.90 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $2,187.76 | Facility | None | $123.03 | $223.87 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $60.26 Typical High $134.90 | Professional | None (both parts) | $50.12 | $60.26 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $21.38 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $102.33 | Professional | TC · Technical part | $32.36 | $39.81 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $32.36 | $69.18 | $147.91 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $24.55 | $50.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $46.77 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $21.38 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $38.90 | $63.10 |
3 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 $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $14.45 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $5.75 | $12.30 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $22.91 | $50.12 | $50.12 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$61.66
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.