How much rates vary
Facilitymedian $1,148 · 10th to 90th $832 to $1,950Professionalmedian $182 · 10th to 90th $145 to $309
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 $125.89 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $125.89 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $57.54 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $72.44 | $93.33 | $93.33 |
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 $134.90 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $134.90 | $194.98 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $89.13 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $102.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $169.82 | $181.97 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $79.43 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $95.50 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $165.96 | $204.17 | $281.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $93.33 | $128.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $112.20 | $151.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $141.25 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $64.57 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $74.13 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $144.54 | $218.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $100.00 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $120.23 | $158.49 |
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 $61.66 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $114.82 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $104.71 | $134.90 | $134.90 |
Where Maine sits
The same service costs 4.5 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· 34th of 51
$186
AK $427UT $95.50
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.