How much rates vary
Facilitymedian $229 · 10th to 90th $166 to $389Professionalmedian $68 · 10th to 90th $50 to $129
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 $58.88 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $58.88 | $60.26 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $23.99 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $389.05 | Facility | None | $165.96 | $229.09 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $48.98 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $37.15 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $23.44 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $58.88 | $66.07 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $41.69 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $24.55 | $60.26 |
Community Health Options Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $38.02 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $38.02 | $66.07 | $131.83 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $45.71 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $29.51 | $58.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $97.72 | Professional | None (both parts) | $60.26 | $60.26 | $97.72 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $23.99 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $50.12 | $97.72 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $61.66 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $38.90 | $64.57 |
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 $27.54 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $12.02 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | FX · Film X-ray | $47.86 | $47.86 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $100.00 Typical High $138.04 | Professional | 50 · Both sides | $72.44 | $100.00 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.20 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.02 | $14.13 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | FX · Film X-ray | $47.86 | $47.86 | $56.23 |
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· 35th of 51
$69.18
AK $151TX $39.81
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.