How much rates vary
Facilitymedian $1,175 · 10th to 90th $851 to $1,950Professionalmedian $166 · 10th to 90th $132 to $275
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 $154.88 Typical High $218.78 | Professional | None (both parts) | $120.23 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $93.33 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,949.84 | Facility | None | $851.14 | $1,174.90 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $128.82 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $102.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $154.88 | $165.96 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $95.50 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $154.88 | $190.55 | $257.04 |
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 $91.20 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $112.20 | $151.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $128.82 | $154.88 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $93.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $131.83 | $194.98 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $79.43 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $117.49 | $162.18 |
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 $56.23 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $56.23 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $22.39 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $107.15 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $95.50 | $125.89 | $125.89 |
Where Maine sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 33rd of 51
$170
AK $389TX $95.50
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.