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 Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $85.11 | $151.36 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $44.67 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $107.15 | $173.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $831.76 | Facility | None | $588.84 | $812.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $131.83 | $281.84 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $87.10 | $186.21 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $602.56 Typical High $1,148.15 | Facility | None | $194.98 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $177.83 | $208.93 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $66.07 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $138.04 | $354.81 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $144.54 | $229.09 | $426.58 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $75.86 | $144.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $158.49 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $181.97 | $208.93 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $144.54 | $257.04 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
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 $42.66 Median $75.86 Typical High $141.25 | Professional | 52 · Reduced service | $42.66 | $75.86 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $30.20 Typical High $56.23 | Professional | 53 · Discontinued | $16.98 | $30.20 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $67.61 | $123.03 | $128.82 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$251
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.