How much rates vary
Facilitymedian $339 · 10th to 90th $245 to $575Professionalmedian $105 · 10th to 90th $85 to $170
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 Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $79.43 | $102.33 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $26.92 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $77.62 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $575.44 | Facility | None | $245.47 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $85.11 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $31.62 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $97.72 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $28.18 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $74.13 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $93.33 | $125.89 | $165.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $33.88 | $45.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $93.33 | $141.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $83.18 | $102.33 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $26.92 | $46.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $77.62 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $85.11 | $134.90 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $33.88 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $100.00 | $125.89 |
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 $38.90 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $69.18 | $83.18 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $63.10 | $83.18 | $83.18 |
Where Maine sits
The same service costs 3.8 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· 22nd of 51
$107
AK $245UT $64.57
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.