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 $338.84 Median $338.84 Typical High $891.25 | Facility | None | $338.84 | $338.84 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $338.84 | $416.87 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $134.90 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $204.17 | $245.47 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $3,235.94 | Facility | None | $1,380.38 | $1,949.84 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $295.12 | $436.52 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $109.65 | $147.91 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $323.59 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $549.54 | $575.44 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $144.54 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $407.38 | $426.58 | $724.44 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $467.74 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $467.74 | $588.84 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $162.18 Typical High $223.87 | Professional | 26 · Professional part | $134.90 | $162.18 | $223.87 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $645.65 | Professional | TC · Technical part | $323.59 | $416.87 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $891.25 Typical High $1,412.54 | Facility | None | $338.84 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $338.84 | $436.52 | $676.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $186.21 | Professional | 26 · Professional part | $117.49 | $134.90 | $186.21 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $204.17 | $309.03 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $416.87 | $537.03 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $169.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $302.00 | $380.19 | $676.08 |
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 $151.36 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $151.36 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $67.61 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $263.03 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $151.36 | $169.82 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $67.61 | $69.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $263.03 | $275.42 | $275.42 |
Where Maine sits
The same service costs 6.8 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· 26th of 51
$513
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.