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 $117.49 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $117.49 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $60.26 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $229.09 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $776.25 | Facility | None | $562.34 | $776.25 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $104.71 | $181.97 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $75.86 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $95.50 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $3,467.37 | Facility | None | $478.63 | $758.58 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $549.54 | Professional | None (both parts) | $165.96 | $194.98 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $77.62 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $114.82 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $138.04 | $229.09 | $512.86 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $89.13 | $165.96 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $263.03 | Professional | TC · Technical part | $79.43 | $131.83 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $575.44 | Professional | None (both parts) | $177.83 | $245.47 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $77.62 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $389.05 | Professional | TC · Technical part | $107.15 | $138.04 | $389.05 |
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 $58.88 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $58.88 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $57.54 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $93.33 | $229.09 | $229.09 |
Where New Hampshire 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.
New Hampshire· 21st of 51
$204
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.