How much rates vary
Facilitymedian $1,318 · 10th to 90th $955 to $2,239Professionalmedian $3,090 · 10th to 90th $347 to $5,495
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 $2,137.96 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $2,137.96 | $3,090.30 | $3,090.30 |
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 $2,089.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $2,089.30 | $3,090.30 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,238.72 | Facility | None | $954.99 | $1,318.26 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $4,265.80 Typical High $6,165.95 | Professional | None (both parts) | $2,884.03 | $4,265.80 | $6,165.95 |
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 $2,818.38 Median $4,073.80 Typical High $6,165.95 | Professional | TC · Technical part | $2,818.38 | $4,073.80 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $323.59 | $331.13 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $257.04 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $389.05 Median $2,187.76 Typical High $4,466.84 | Professional | None (both parts) | $389.05 | $2,187.76 | $4,466.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $77.62 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $2,137.96 Typical High $4,365.16 | Professional | TC · Technical part | $323.59 | $2,137.96 | $4,365.16 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $676.08 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $676.08 | $3,090.30 | $3,090.30 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $660.69 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $3,548.13 Typical High $5,495.41 | Professional | None (both parts) | $776.25 | $3,548.13 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $83.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $3,467.37 Typical High $5,370.32 | Professional | TC · Technical part | $676.08 | $3,467.37 | $5,370.32 |
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 $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,071.52 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $426.58 | $630.96 | $630.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,698.24 Median $2,511.89 Typical High $2,511.89 | Professional | FX · Film X-ray | $1,698.24 | $2,511.89 | $2,511.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,071.52 | $1,548.82 | $1,548.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $426.58 | $630.96 | $630.96 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $1,698.24 Median $2,511.89 Typical High $2,511.89 | Professional | FX · Film X-ray | $1,698.24 | $2,511.89 | $2,511.89 |
Where Maine sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 3rd of 51
$3,090
CO $3,890NJ $257
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.