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 Professional Modifier None (both parts) Typical Low $109.65 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $109.65 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $741.31 | Facility | None | $524.81 | $724.44 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $120.23 | $169.82 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $72.44 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $100.00 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $17,782.79 | Facility | None | $446.68 | $707.95 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $524.81 | Professional | None (both parts) | $151.36 | $173.78 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $72.44 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $104.71 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $131.83 | $213.80 | $478.63 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $87.10 | $158.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $245.47 | Professional | TC · Technical part | $75.86 | $123.03 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $575.44 | Professional | None (both parts) | $165.96 | $218.78 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $72.44 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $125.89 | $354.81 |
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 $54.95 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $54.95 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $21.88 | $43.65 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $87.10 | $173.78 | $173.78 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$209
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.