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 $81.28 Median $81.28 Typical High $234.42 | Facility | None | $81.28 | $81.28 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $213.80 | Professional | None (both parts) | $58.88 | $81.28 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $41.69 | Professional | 26 · Professional part | $14.13 | $18.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $61.66 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 26 · Professional part | $5.75 | $5.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $575.44 | Facility | None | $407.38 | $562.34 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $91.20 | $128.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $17.78 | $25.70 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $104.71 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $1,412.54 | Facility | None | $363.08 | $501.19 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $89.13 | $128.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $25.12 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $104.71 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $95.50 | $154.88 | $323.59 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $19.50 | $30.20 | $56.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $120.23 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $85.11 | $123.03 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $97.72 | $181.97 |
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 $29.51 Median $40.74 Typical High $69.18 | Professional | 52 · Reduced service | $29.51 | $40.74 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.22 Typical High $27.54 | Professional | 53 · Discontinued | $12.02 | $16.22 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $64.57 Typical High $66.07 | Professional | FX · Film X-ray | $47.86 | $64.57 | $66.07 |
Where New Hampshire sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$129
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.