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 $173.78 Typical High $173.78 | Professional | None (both parts) | $112.20 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $660.69 | Facility | None | $467.74 | $645.65 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $104.71 | $151.36 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $46.77 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $104.71 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $3,467.37 | Facility | None | $467.74 | $707.95 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $125.89 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $46.77 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $107.15 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $114.82 | $190.55 | $389.05 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $54.95 | $104.71 |
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 $104.71 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $104.71 | $162.18 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $114.82 | $295.12 |
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 $54.95 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $22.39 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $93.33 | $141.25 | $141.25 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$170
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.