How much rates vary
Facilitymedian $229 · 10th to 90th $166 to $389Professionalmedian $1,259 · 10th to 90th $158 to $4,898
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 $109.65 Median $537.03 Typical High $1,862.09 | Professional | None (both parts) | $109.65 | $537.03 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $100.00 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $79.43 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $389.05 | Facility | None | $165.96 | $229.09 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,862.09 Typical High $6,025.60 | Professional | None (both parts) | $389.05 | $1,862.09 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $1,698.24 Typical High $5,888.44 | Professional | TC · Technical part | $165.96 | $1,698.24 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $158.49 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $107.15 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $52.48 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $338.84 Median $891.25 Typical High $2,754.23 | Professional | None (both parts) | $338.84 | $891.25 | $2,754.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $131.83 | $204.17 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $794.33 Typical High $2,630.27 | Professional | TC · Technical part | $204.17 | $794.33 | $2,630.27 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $537.03 Typical High $1,862.09 | Professional | None (both parts) | $109.65 | $537.03 | $1,862.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $100.00 | $173.78 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $79.43 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $3,981.07 | Professional | None (both parts) | $851.14 | $1,202.26 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $117.49 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,071.52 Typical High $3,890.45 | Professional | TC · Technical part | $691.83 | $1,071.52 | $3,890.45 |
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 $269.15 Median $933.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $269.15 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $371.54 Typical High $489.78 | Professional | 53 · Discontinued | $109.65 | $371.54 | $489.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $549.54 Median $1,479.11 Typical High $1,479.11 | Professional | FX · Film X-ray | $549.54 | $1,479.11 | $1,479.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $346.74 | $933.25 | $933.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $138.04 | $371.54 | $371.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $1,479.11 Typical High $1,479.11 | Professional | FX · Film X-ray | $436.52 | $1,479.11 | $1,479.11 |
Where Maine sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 10th of 51
$1,202
CO $3,467NM $132
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.