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 $288.40 | Professional | None (both parts) | $144.54 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $66.07 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,096.48 | Facility | None | $776.25 | $1,071.52 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $173.78 | $251.19 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $87.10 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $165.96 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $17,782.79 | Facility | None | $630.96 | $1,000.00 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $707.95 | Professional | None (both parts) | $218.78 | $257.04 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $173.78 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $190.55 | $323.59 | $645.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $66.07 | $102.33 | $190.55 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $125.89 | $208.93 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $223.87 | $295.12 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $141.25 | $181.97 | $446.68 |
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 $144.54 | Professional | 52 · Reduced service | $72.44 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $28.84 | $54.95 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $114.82 | $218.78 | $218.78 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$282
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.