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 $30.20 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $30.20 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $15.14 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $70.79 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $112.20 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $229.09 | Professional | None (both parts) | $70.79 | $70.79 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $25.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $45.71 | $147.91 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.20 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $30.20 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $15.14 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $89.13 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $223.87 | $239.88 |
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 $13.49 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $13.49 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $5.37 | $14.79 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $58.88 Typical High $58.88 | Professional | FX · Film X-ray | $26.92 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $16.98 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $6.76 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $58.88 Typical High $58.88 | Professional | FX · Film X-ray | $26.92 | $58.88 | $58.88 |
Where Maine sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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
$74.13
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.