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 Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $83.18 | Professional | None (both parts) | $42.66 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $19.50 | $26.92 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $36.31 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $363.08 | Facility | None | $263.03 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $58.88 | $85.11 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $34.67 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $50.12 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $302.00 Typical High $3,019.95 | Facility | None | $165.96 | $302.00 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $70.79 | $85.11 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $35.48 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $107.15 | Professional | TC · Technical part | $41.69 | $51.29 | $107.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $64.57 | $97.72 | $213.80 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $26.30 | $40.74 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $58.88 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $144.54 | Professional | None (both parts) | $67.61 | $81.28 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $34.67 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $47.86 | $81.28 |
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 $21.38 Median $31.62 Typical High $41.69 | Professional | 52 · Reduced service | $21.38 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.59 Typical High $16.60 | Professional | 53 · Discontinued | $8.51 | $12.59 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $33.88 | $50.12 | $50.12 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$85.11
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.