How much rates vary
Facilitymedian $1,148 · 10th to 90th $832 to $1,950Professionalmedian $209 · 10th to 90th $170 to $355
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 $141.25 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $141.25 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $134.90 | $134.90 |
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 $165.96 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $165.96 | $223.87 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $141.25 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $199.53 | $208.93 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $70.79 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $128.82 | $134.90 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $186.21 | $229.09 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $81.28 | $120.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $151.36 | $234.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $162.18 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $169.82 | $208.93 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $81.28 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $134.90 | $229.09 |
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 $57.54 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $57.54 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $23.44 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $138.04 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $120.23 | $165.96 | $165.96 |
Where Maine sits
The same service costs 3.8 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· 33rd of 51
$209
AK $468UT $123
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.