How much rates vary
Facilitymedian $1,259 · 10th to 90th $912 to $2,138Professionalmedian $174 · 10th to 90th $132 to $288
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 $158.49 Typical High $158.49 | Professional | None (both parts) | $112.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $69.18 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,137.96 | Facility | None | $912.01 | $1,258.93 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $120.23 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $93.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $158.49 | $169.82 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $97.72 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $144.54 | $194.98 | $263.03 |
Harvard Pilgrim 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 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $112.20 | $154.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $131.83 | $158.49 | $158.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $75.86 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $134.90 | $194.98 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $75.86 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $117.49 | $169.82 |
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 $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $22.91 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $128.82 | $128.82 |
Where Maine sits
The same service costs 4.9 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· 35th of 51
$174
AK $398TX $81.28
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.