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 $117.49 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $117.49 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $64.57 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $158.49 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $794.33 | Facility | None | $562.34 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $128.82 | $186.21 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $85.11 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $100.00 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $17,782.79 | Facility | None | $446.68 | $707.95 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $165.96 | $186.21 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $85.11 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $107.15 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $141.25 | $229.09 | $512.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $64.57 | $100.00 | $181.97 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $75.86 | $125.89 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $177.83 | $234.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $128.82 | $371.54 |
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 $58.88 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $58.88 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $23.44 | $44.67 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $95.50 | $177.83 | $177.83 |
Where New Hampshire 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.
New Hampshire· 18th 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.