How much rates vary
Facilitymedian $1,202 · 10th to 90th $871 to $2,042Professionalmedian $182 · 10th to 90th $141 to $302
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 $120.23 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $120.23 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $46.77 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $100.00 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,041.74 | Facility | None | $870.96 | $1,202.26 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $134.90 | $190.55 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $72.44 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $117.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $165.96 | $173.78 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $380.19 | Professional | TC · Technical part | $100.00 | $107.15 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $162.18 | $199.53 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $74.13 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $123.03 | $169.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $134.90 | $162.18 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $100.00 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $138.04 | $208.93 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $79.43 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $128.82 | $173.78 |
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 $114.82 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $114.82 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $102.33 | $131.83 | $131.83 |
Where Maine sits
The same service costs 4.3 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· 33rd of 51
$186
AK $407UT $95.50
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.