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 $26.30 Median $26.30 Typical High $891.25 | Facility | None | $26.30 | $26.30 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $27.54 Typical High $75.86 | Professional | None (both parts) | $26.30 | $27.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $11.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $64.57 | Professional | TC · Technical part | $15.14 | $19.95 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $645.65 | Facility | None | $275.42 | $380.19 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $23.99 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $13.18 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $14.13 | $20.89 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $112.20 | Professional | None (both parts) | $28.18 | $31.62 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $12.02 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $97.72 | Professional | TC · Technical part | $16.60 | $19.50 | $97.72 |
Community Health Options Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | None (both parts) | $47.86 | $47.86 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $19.95 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $19.95 | $31.62 | $51.29 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $13.49 | $18.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $14.45 | $19.95 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $77.62 | Professional | None (both parts) | $26.30 | $28.84 | $77.62 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $11.22 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $66.07 | Professional | TC · Technical part | $15.14 | $19.95 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $21.88 | $31.62 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $14.13 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $17.78 Typical High $34.67 | Professional | TC · Technical part | $12.02 | $17.78 | $34.67 |
2 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 FX · Film X-ray Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | FX · Film X-ray | $19.05 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | FX · Film X-ray | $19.05 | $20.89 | $20.89 |
Where Maine sits
The same service costs 4.8 times more in Kansas 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· 37th of 51
$31.62
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.