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 $75.86 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $75.86 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $48.98 | $54.95 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $478.63 | Facility | None | $338.84 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $75.86 | $109.65 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $46.77 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $43.65 | $63.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $645.65 | Facility | None | $295.12 | $467.74 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $95.50 | $112.20 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $46.77 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $64.57 | $134.90 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $83.18 | $128.82 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $48.98 | $95.50 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $81.28 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $104.71 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $83.18 | $154.88 |
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 $38.02 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $17.78 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $61.66 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | 50 · Both sides | $114.82 | $165.96 | $281.84 |
Where New Hampshire sits
The same service costs 3.7 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· 14th of 51
$120
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.