How much rates vary
Facilitymedian $1,175 · 10th to 90th $851 to $1,995Professionalmedian $162 · 10th to 90th $123 to $269
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 $123.03 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $123.03 | $147.91 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $61.66 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $85.11 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,995.26 | Facility | None | $851.14 | $1,174.90 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $120.23 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $501.19 | Professional | None (both parts) | $147.91 | $158.49 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $316.23 | Professional | TC · Technical part | $85.11 | $89.13 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $85.11 | $173.78 | $245.47 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $75.86 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $104.71 | $141.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $134.90 | $147.91 | $239.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $61.66 | $102.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $85.11 | $85.11 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $123.03 | $190.55 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $79.43 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $109.65 | $147.91 |
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 $53.70 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $100.00 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Where Maine sits
The same service costs 4.9 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.
Maine· 31st of 51
$170
AK $372UT $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.