How much rates vary
Facilitymedian $457 · 10th to 90th $331 to $776Professionalmedian $138 · 10th to 90th $112 to $234
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 $134.90 Typical High $134.90 | Professional | None (both parts) | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $27.54 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $79.43 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Facility | None | $331.13 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $104.71 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $104.71 | $141.25 |
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 $131.83 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $131.83 | $134.90 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $93.33 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $128.82 | $173.78 | $234.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $47.86 | $66.07 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $120.23 | $173.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $112.20 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $234.42 | Professional | None (both parts) | $112.20 | $190.55 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $51.29 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $138.04 | $173.78 |
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 $54.95 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $91.20 | $107.15 | $107.15 |
Where Maine sits
The same service costs 4.6 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· 22nd of 51
$141
AK $324TX $70.79
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.