How much rates vary
Facilitymedian $1,259 · 10th to 90th $912 to $2,138Professionalmedian $209 · 10th to 90th $158 to $331
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 $158.49 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $158.49 | $186.21 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $95.50 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $89.13 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,137.96 | Facility | None | $912.01 | $1,258.93 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $147.91 | $208.93 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $107.15 | $154.88 |
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $186.21 | $194.98 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $316.23 | Professional | TC · Technical part | $87.10 | $89.13 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $181.97 | $223.87 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $100.00 | $154.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $85.11 | $125.89 | $173.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $177.83 | $186.21 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $95.50 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $89.13 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $154.88 | $223.87 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $89.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $141.25 | $181.97 |
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 $64.57 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $64.57 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $123.03 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $112.20 | $147.91 | $147.91 |
Where Maine sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 30th of 51
$209
AK $468TX $115
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.