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 $891.25 Median $891.25 Typical High $1,412.54 | Facility | None | $891.25 | $891.25 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $134.90 | $144.54 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $54.95 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $91.20 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $977.24 | Facility | None | $416.87 | $575.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $120.23 | $177.83 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $58.88 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $112.20 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $177.83 | $186.21 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $58.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $125.89 | $257.04 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $162.18 | $194.98 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $67.61 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $107.15 | $128.82 | $181.97 |
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 $144.54 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $144.54 | $144.54 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $54.95 | $89.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $91.20 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $134.90 | $199.53 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $70.79 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $128.82 | $199.53 |
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 $56.23 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Where Maine sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 29th of 51
$178
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.