How much rates vary
Facilitymedian $389 · 10th to 90th $240 to $513Professionalmedian $100 · 10th to 90th $72 to $195
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 $79.43 Typical High $134.90 | Professional | None (both parts) | $67.61 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $29.51 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $48.98 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $436.52 | Facility | None | $309.03 | $426.58 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $69.18 | $100.00 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $43.65 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $56.23 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $645.65 | Facility | None | $223.87 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $87.10 | $102.33 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $43.65 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $57.54 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $75.86 | $107.15 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $48.98 | $85.11 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $63.10 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $75.86 | $91.20 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $39.81 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $48.98 | $138.04 |
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 $33.88 Median $39.81 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $15.85 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $53.70 | $63.10 | $63.10 |
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· 14th of 51
$100
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.