How much rates vary
Facilitymedian $58 · 10th to 90th $49 to $178Professionalmedian $49 · 10th to 90th $23 to $81
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $19.50 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $7.94 | $17.78 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $11.48 | $30.90 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $107.15 | Facility | None | $45.71 | $63.10 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $35.48 | $52.48 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $17.78 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $32.36 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $29.51 | $50.12 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $33.88 | Professional | 26 · Professional part | $12.02 | $18.62 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $64.57 | Professional | TC · Technical part | $18.62 | $31.62 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $22.91 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $22.91 | $52.48 | $83.18 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $18.20 | $28.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $11.22 | $35.48 | $54.95 |
Martin's Point Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $19.50 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $19.50 | $48.98 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $7.94 | $17.78 | $24.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $11.75 | $30.90 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $34.67 Typical High $81.28 | Professional | None (both parts) | $21.88 | $34.67 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $10.72 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $21.38 Typical High $54.95 | Professional | TC · Technical part | $10.96 | $21.38 | $54.95 |
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 $6.46 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $6.46 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $2.57 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $15.49 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $9.77 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $3.89 | $9.77 | $9.77 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $15.49 | $38.90 | $38.90 |
Where Maine sits
The same service costs 9.3 times more in Alaska than in New York. 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· 20th of 51
$48.98
AK $123NY $13.18
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.