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 Professional Modifier None (both parts) Typical Low $144.54 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $144.54 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $64.57 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $208.93 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,000.00 | Facility | None | $724.44 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $162.18 | $234.42 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $91.20 | $128.82 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $17,782.79 | Facility | None | $501.19 | $812.83 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $676.08 | Professional | None (both parts) | $204.17 | $234.42 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $269.15 | Professional | 26 · Professional part | $91.20 | $120.23 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $95.50 | $117.49 | $389.05 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $616.60 | Professional | None (both parts) | $177.83 | $295.12 | $616.60 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $288.40 | Professional | 26 · Professional part | $100.00 | $151.36 | $288.40 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $81.28 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $218.78 | $295.12 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $93.33 | $125.89 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $128.82 | $371.54 |
3 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 $72.44 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $117.49 | $218.78 | $218.78 |
Where New Hampshire 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.
New Hampshire· 18th of 51
$275
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.