How much rates vary
Facilitymedian $316 · 10th to 90th $110 to $676Professionalmedian $132 · 10th to 90th $93 to $204
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $91.20 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $18.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $91.20 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $398.11 Typical High $676.08 | Facility | None | $288.40 | $398.11 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $97.72 | $144.54 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $21.88 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $114.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $120.23 | $131.83 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $19.50 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $114.82 | $199.53 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $100.00 | $131.83 | $204.17 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $22.91 | $30.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $112.20 | $173.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $91.20 | $109.65 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $18.62 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $91.20 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $91.20 | $112.20 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $23.44 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $91.20 | $177.83 |
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 $32.36 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $32.36 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $12.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $89.13 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $89.13 | $89.13 |
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· 17th of 51
$132
AK $288NY $75.86
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.