How much rates vary
Facilitymedian $1,259 · 10th to 90th $912 to $2,138Professionalmedian $204 · 10th to 90th $148 to $331
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 $147.91 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $147.91 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $61.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $109.65 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,137.96 | Facility | None | $912.01 | $1,258.93 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $144.54 | $204.17 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $72.44 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $131.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $173.78 | $181.97 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $398.11 | Professional | TC · Technical part | $109.65 | $117.49 | $398.11 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $169.82 | $213.80 | $288.40 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $74.13 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $138.04 | $190.55 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $162.18 | $169.82 | $257.04 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $61.66 | $79.43 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $109.65 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $141.25 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $77.62 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $89.13 | $141.25 | $190.55 |
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 $63.10 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $123.03 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $28.84 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $109.65 | $134.90 | $134.90 |
Where Maine sits
The same service costs 4.2 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· 31st of 51
$204
AK $437UT $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.