How much rates vary
Facilitymedian $263 · 10th to 90th $191 to $447Professionalmedian $78 · 10th to 90th $59 to $145
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 $69.18 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $69.18 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $40.74 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $29.51 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $446.68 | Facility | None | $190.55 | $263.03 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $57.54 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $28.18 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $69.18 | $77.62 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $29.51 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $63.10 | $89.13 | $154.88 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $53.70 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $36.31 | $67.61 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $69.18 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $69.18 | $70.79 | $107.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $40.74 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $29.51 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $58.88 | $117.49 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $67.61 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $23.99 | $46.77 | $77.62 |
7 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 $32.36 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $14.13 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | FX · Film X-ray | $56.23 | $56.23 | $61.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $120.23 Typical High $162.18 | Professional | 50 · Both sides | $87.10 | $120.23 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.49 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | FX · Film X-ray | $56.23 | $56.23 | $61.66 |
Where Maine sits
The same service costs 3.8 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· 36th of 51
$79.43
AK $178TX $46.77
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.