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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.80 Typical High $28.84 | Professional | None (both parts) | $11.75 | $13.80 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $19.50 | Professional | 26 · Professional part | $7.41 | $9.33 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.37 Typical High $9.55 | Professional | TC · Technical part | $4.27 | $4.37 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $72.44 | Facility | None | $51.29 | $70.79 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.75 Median $16.98 Typical High $25.70 | Professional | None (both parts) | $5.75 | $16.98 | $25.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $7.76 | $10.96 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $3.98 Typical High $9.33 | Professional | TC · Technical part | $3.98 | $3.98 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $151.36 | Facility | None | $25.12 | $46.77 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.98 Typical High $33.88 | Professional | None (both parts) | $14.45 | $16.98 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $11.22 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $5.62 Typical High $10.96 | Professional | TC · Technical part | $4.47 | $5.62 | $10.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $9.12 Median $15.49 Typical High $38.90 | Professional | None (both parts) | $9.12 | $15.49 | $38.90 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $12.88 | $25.12 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $5.25 Typical High $13.80 | Professional | TC · Technical part | $4.17 | $5.25 | $13.80 |
United Setting Professional Modifier None (both parts) Typical Low $12.59 Median $15.85 Typical High $38.90 | Professional | None (both parts) | $12.59 | $15.85 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $10.47 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.90 Typical High $13.80 | Professional | TC · Technical part | $3.63 | $4.90 | $13.80 |
3 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 $5.75 Median $6.92 Typical High $7.94 | Professional | 52 · Reduced service | $5.75 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.75 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.75 | $3.16 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | FX · Film X-ray | $9.33 | $10.96 | $10.96 |
Where New Hampshire sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 15th of 51
$16.22
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.