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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $93.33 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $36.31 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $95.50 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $575.44 | Facility | None | $245.47 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $109.65 | $154.88 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $38.02 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $144.54 | $147.91 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $107.15 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $112.20 | $154.88 | $208.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $31.62 | $41.69 | $56.23 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $83.18 | $114.82 | $154.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $95.50 | $131.83 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $36.31 | $46.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $95.50 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $107.15 | $154.88 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $42.66 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $114.82 | $165.96 |
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 $46.77 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $75.86 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.05 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $75.86 | $104.71 | $104.71 |
Where Maine sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 18th of 51
$145
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.