How much rates vary
Facilitymedian $1,288 · 10th to 90th $933 to $2,138Professionalmedian $200 · 10th to 90th $158 to $324
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 $134.90 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $134.90 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,137.96 | Facility | None | $933.25 | $1,288.25 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $151.36 | $218.78 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $134.90 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $512.86 | Professional | None (both parts) | $186.21 | $199.53 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $66.07 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $128.82 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $186.21 | $229.09 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $77.62 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $151.36 | $204.17 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $151.36 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $97.72 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $154.88 | $234.42 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $154.88 | $208.93 |
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 $67.61 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.92 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $131.83 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $117.49 | $147.91 | $147.91 |
Where Maine sits
The same service costs 4.4 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
$209
AK $457UT $105
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.