How much rates vary
Facilitymedian $1,148 · 10th to 90th $832 to $1,950Professionalmedian $170 · 10th to 90th $126 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 Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $120.23 | $147.91 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $61.66 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $87.10 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,949.84 | Facility | None | $831.76 | $1,148.15 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $120.23 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $70.79 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $478.63 | Professional | None (both parts) | $147.91 | $154.88 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $316.23 | Professional | TC · Technical part | $85.11 | $89.13 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $141.25 | $181.97 | $239.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $74.13 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $107.15 | $141.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $125.89 | $147.91 | $239.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $61.66 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $74.13 | $87.10 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $123.03 | $194.98 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $77.62 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $114.82 | $151.36 |
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 $54.95 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $21.88 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $100.00 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Where Maine sits
The same service costs 4.9 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· 34th of 51
$170
AK $372UT $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.