How much rates vary
Facilitymedian $240 · 10th to 90th $174 to $407Professionalmedian $85 · 10th to 90th $68 to $138
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 $67.61 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $67.61 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $35.48 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $40.74 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $407.38 | Facility | None | $173.78 | $239.88 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $69.18 | $95.50 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $37.15 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $47.86 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $83.18 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $38.90 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $50.12 | $89.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $67.61 | $100.00 | $138.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $41.69 | $57.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $57.54 | $85.11 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $70.79 | $75.86 | $120.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $35.48 | $48.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $40.74 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $63.10 | $107.15 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $41.69 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $33.11 | $66.07 | $85.11 |
6 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 $32.36 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $57.54 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $57.54 | $60.26 | $60.26 |
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· 24th of 51
$85.11
AK $204TX $53.70
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.