How much rates vary
Facilitymedian $1,122 · 10th to 90th $813 to $1,905Professionalmedian $162 · 10th to 90th $120 to $257
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 $114.82 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $114.82 | $141.25 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $61.66 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $79.43 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,905.46 | Facility | None | $812.83 | $1,122.02 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $114.82 | $162.18 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $87.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $467.74 | Professional | None (both parts) | $141.25 | $147.91 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $81.28 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $138.04 | $173.78 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $75.86 | $104.71 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $100.00 | $128.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $125.89 | $141.25 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $61.66 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $79.43 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $120.23 | $186.21 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $79.43 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $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 $53.70 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $87.10 | $114.82 | $114.82 |
Where Maine sits
The same service costs 4.8 times more in Kansas 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· 31st of 51
$162
KS $363UT $75.86
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.