How much rates vary
Facilitymedian $1,380 · 10th to 90th $457 to $2,344Professionalmedian $234 · 10th to 90th $174 to $355
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $177.83 | $194.98 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $107.15 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $91.20 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,344.23 | Facility | None | $1,000.00 | $1,380.38 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $162.18 | $229.09 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $120.23 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $100.00 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $199.53 | $213.80 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $95.50 | $112.20 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $95.50 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $165.96 | $239.88 | $331.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $112.20 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $128.82 | $199.53 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $194.98 | $194.98 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $107.15 | $151.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $91.20 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $165.96 | $257.04 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $154.88 | $204.17 |
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 $74.13 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $134.90 | $158.49 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $120.23 | $158.49 | $158.49 |
Where Maine sits
The same service costs 5.1 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· 32nd of 51
$234
AK $513UT $100
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.