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 Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $63.10 | $87.10 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $19.05 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $69.18 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $630.96 | Facility | None | $457.09 | $630.96 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $100.00 | $144.54 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $25.70 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $120.23 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,412.54 | Facility | None | $371.54 | $537.03 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $295.12 | Professional | None (both parts) | $97.72 | $134.90 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $21.38 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $112.20 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $104.71 | $165.96 | $363.08 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $30.20 | $57.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $134.90 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $74.13 | $120.23 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $24.55 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $102.33 | $173.78 |
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 $31.62 Median $43.65 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $17.78 Typical High $27.54 | Professional | 53 · Discontinued | $12.59 | $17.78 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $70.79 Typical High $72.44 | Professional | FX · Film X-ray | $50.12 | $70.79 | $72.44 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$145
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.