How much rates vary
Facilitymedian $309 · 10th to 90th $224 to $525Professionalmedian $275 · 10th to 90th $110 to $468
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 $190.55 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $190.55 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $23.44 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $524.81 | Facility | None | $223.87 | $309.03 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $251.19 | $354.81 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $100.00 | $102.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $64.57 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $114.82 | $245.47 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $41.69 | $58.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $79.43 | $199.53 | $331.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $223.87 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $29.51 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $213.80 | $263.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $245.47 | $302.00 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $44.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $263.03 | $478.63 |
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 $95.50 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $95.50 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $38.02 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $151.36 | $218.78 | $218.78 |
Where Maine sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 7th of 51
$275
NE $389HI $66.07
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.