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 $199.53 Typical High $199.53 | Professional | None (both parts) | $144.54 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,398.83 | Facility | None | $1,047.13 | $1,445.44 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $173.78 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $158.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $208.93 | $218.78 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $75.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $141.25 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $199.53 | $251.19 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $87.10 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $128.82 | $162.18 | $229.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $169.82 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $107.15 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $165.96 | $251.19 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $162.18 | $229.09 |
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 $72.44 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $28.84 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $144.54 | $158.49 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $128.82 | $158.49 | $158.49 |
Where Maine sits
The same service costs 4.4 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· 33rd of 51
$224
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.