How much rates vary
Facilitymedian $479 · 10th to 90th $275 to $617Professionalmedian $123 · 10th to 90th $85 to $263
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 $100.00 Median $100.00 Typical High $181.97 | Facility | None | $100.00 | $100.00 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $77.62 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $23.44 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $75.86 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $537.03 | Facility | None | $380.19 | $524.81 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $85.11 | $123.03 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.88 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $89.13 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $645.65 | Facility | None | $316.23 | $501.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $100.00 | $117.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $33.11 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $85.11 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $93.33 | $147.91 | $309.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $39.81 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $109.65 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $74.13 | $125.89 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $93.33 | $204.17 |
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 $38.90 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $19.95 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $63.10 | $79.43 | $79.43 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$126
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.