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 $58.88 Median $72.44 Typical High $77.62 | Professional | None (both parts) | $58.88 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $28.84 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $44.67 | Professional | TC · Technical part | $33.88 | $43.65 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $302.00 | Facility | None | $213.80 | $295.12 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $36.31 | $69.18 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $32.36 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $85.11 | Professional | TC · Technical part | $25.12 | $25.70 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $645.65 | Facility | None | $169.82 | $316.23 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $61.66 | $75.86 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $33.11 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $91.20 | Professional | TC · Technical part | $33.11 | $40.74 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $173.78 | Professional | None (both parts) | $50.12 | $77.62 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $33.88 | $74.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $28.18 | $41.69 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $177.83 | Professional | None (both parts) | $56.23 | $67.61 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $79.43 | Professional | 26 · Professional part | $25.70 | $29.51 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $107.15 | Professional | TC · Technical part | $29.51 | $35.48 | $107.15 |
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 $30.20 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $14.45 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $50.12 | $57.54 | $57.54 |
Where New Hampshire sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 26th of 51
$69.18
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.