How much rates vary
Facilitymedian $347 · 10th to 90th $251 to $589Professionalmedian $123 · 10th to 90th $89 to $191
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 $63.10 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $63.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $50.12 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $588.84 | Facility | None | $251.19 | $346.74 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $93.33 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $24.55 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $104.71 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $117.49 | $123.03 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $21.88 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $102.33 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $97.72 | $125.89 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $25.70 | $34.67 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $102.33 | $158.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $87.10 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $17.78 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $69.18 | $83.18 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $87.10 | $109.65 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $26.30 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $85.11 | $151.36 |
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 $31.62 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $31.62 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $12.59 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $83.18 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $43.65 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $83.18 | $83.18 |
Where Maine sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$123
AK $282KY $74.13
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.