How much rates vary
Facilitymedian $417 · 10th to 90th $302 to $708Professionalmedian $120 · 10th to 90th $95 to $182
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 $85.11 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $85.11 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $31.62 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $72.44 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $707.95 | Facility | None | $302.00 | $416.87 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $100.00 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $44.67 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $74.13 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $117.49 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $75.86 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $100.00 | $120.23 | $181.97 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $45.71 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $77.62 | $114.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $91.20 | $112.20 | $117.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $72.44 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $93.33 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $34.67 | $42.66 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $77.62 | $120.23 |
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 $41.69 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $89.13 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $89.13 | $89.13 |
Where Maine sits
The same service costs 4.5 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
$120
AK $295TX $66.07
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.