How much rates vary
Facilitymedian $1,148 · 10th to 90th $832 to $1,950Professionalmedian $174 · 10th to 90th $138 to $288
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 $123.03 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $123.03 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $91.20 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,949.84 | Facility | None | $831.76 | $1,148.15 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $128.82 | $186.21 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $501.19 | Professional | None (both parts) | $162.18 | $169.82 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $323.59 | Professional | TC · Technical part | $89.13 | $93.33 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $154.88 | $194.98 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $85.11 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $109.65 | $144.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $131.83 | $162.18 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $91.20 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $134.90 | $208.93 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $91.20 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $117.49 | $158.49 |
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 $58.88 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $109.65 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $128.82 | $128.82 |
Where Maine sits
The same service costs 5.4 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· 34th of 51
$174
AK $407UT $75.86
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.