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 $70.79 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $70.79 | $93.33 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $51.29 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $31.62 | $41.69 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $302.00 | Facility | None | $218.78 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $169.82 | Professional | None (both parts) | $48.98 | $70.79 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $43.65 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $26.30 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $263.03 Typical High $660.69 | Facility | None | $123.03 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $190.55 | Professional | None (both parts) | $63.10 | $79.43 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $45.71 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $75.86 | Professional | TC · Technical part | $23.99 | $30.20 | $75.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $53.70 | $83.18 | $181.97 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $50.12 | $102.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $74.13 | Professional | TC · Technical part | $20.42 | $30.90 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $208.93 | Professional | None (both parts) | $60.26 | $79.43 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $131.83 | Professional | 26 · Professional part | $35.48 | $42.66 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $91.20 | Professional | TC · Technical part | $24.55 | $30.20 | $91.20 |
4 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 $35.48 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $35.48 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $57.54 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $104.71 Typical High $181.97 | Professional | 50 · Both sides | $72.44 | $104.71 | $181.97 |
Where New Hampshire 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.
New Hampshire· 23rd of 51
$79.43
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.