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 Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $112.20 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $38.90 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $83.18 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $758.58 | Facility | None | $323.59 | $446.68 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $107.15 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $61.66 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $81.28 | $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 $131.83 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $131.83 | $138.04 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $75.86 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $109.65 | $154.88 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $58.88 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $100.00 | $131.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $112.20 | $123.03 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $38.90 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $83.18 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $102.33 | $158.49 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $107.15 | $138.04 |
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 $45.71 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $45.71 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $18.20 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $53.70 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $83.18 | $97.72 | $97.72 |
Where Maine sits
The same service costs 4.2 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· 19th of 51
$138
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.