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 $112.20 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $112.20 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $151.36 | Professional | 26 · Professional part | $40.74 | $57.54 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $158.49 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $794.33 Typical High $812.83 | Facility | None | $575.44 | $794.33 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $128.82 | $186.21 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $77.62 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $109.65 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $17,782.79 | Facility | None | $457.09 | $724.44 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $162.18 | $190.55 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $75.86 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $338.84 | Professional | TC · Technical part | $95.50 | $112.20 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $549.54 | Professional | None (both parts) | $147.91 | $239.88 | $549.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $58.88 | $95.50 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $138.04 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $575.44 | Professional | None (both parts) | $173.78 | $229.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $380.19 | Professional | TC · Technical part | $104.71 | $134.90 | $380.19 |
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 $56.23 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $56.23 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $22.39 | $43.65 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $89.13 | $173.78 | $173.78 |
Where New Hampshire 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.
New Hampshire· 19th of 51
$214
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.