How much rates vary
Facilitymedian $155 · 10th to 90th $68 to $331Professionalmedian $74 · 10th to 90th $59 to $117
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 Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | None (both parts) | $56.23 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $37.15 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $331.13 | Facility | None | $141.25 | $194.98 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $53.70 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $34.67 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $47.86 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $74.13 | $77.62 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $30.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $44.67 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $60.26 | $75.86 | $120.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $35.48 | $48.98 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $43.65 | $69.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | None (both parts) | $56.23 | $67.61 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $37.15 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $56.23 | $75.86 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $37.15 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $39.81 | $72.44 |
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 $21.38 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $8.51 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $50.12 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $45.71 | $53.70 | $53.70 |
Where Maine sits
The same service costs 3.8 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· 24th of 51
$74.13
AK $178TX $46.77
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.