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 $138.04 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $138.04 | $186.21 | $218.78 |
Aetna 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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $123.03 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $2,187.76 | Facility | None | $933.25 | $1,288.25 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $165.96 | $229.09 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $151.36 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $524.81 | Professional | None (both parts) | $194.98 | $204.17 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $407.38 | Professional | TC · Technical part | $128.82 | $138.04 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $186.21 | $234.42 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $77.62 | $107.15 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $151.36 | $229.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $158.49 | $186.21 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $123.03 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $154.88 | $229.09 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $79.43 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $147.91 | $229.09 |
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 $66.07 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $138.04 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $123.03 | $147.91 | $147.91 |
Where Maine sits
The same service costs 4.0 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.
Maine· 34th of 51
$214
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.