How much rates vary
Facilitymedian $603 · 10th to 90th $91 to $759Professionalmedian $151 · 10th to 90th $91 to $302
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 $91.20 Median $91.20 Typical High $251.19 | Facility | None | $91.20 | $91.20 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $257.04 | Professional | None (both parts) | $64.57 | $91.20 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $36.31 | Professional | 26 · Professional part | $12.02 | $16.22 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $204.17 | Professional | TC · Technical part | $52.48 | $75.86 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $660.69 | Facility | None | $478.63 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $104.71 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $22.39 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $128.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $1,412.54 | Facility | None | $416.87 | $602.56 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $102.33 | $144.54 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $22.39 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $125.89 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $380.19 | Professional | None (both parts) | $112.20 | $177.83 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $17.38 | $26.30 | $50.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $147.91 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $93.33 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $21.88 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $112.20 | $208.93 |
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 $32.36 Median $45.71 Typical High $74.13 | Professional | 52 · Reduced service | $32.36 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.20 Typical High $29.51 | Professional | 53 · Discontinued | $12.88 | $18.20 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $52.48 | $72.44 | $72.44 |
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· 14th of 51
$151
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.