How much rates vary
Facilitymedian $132 · 10th to 90th $132 to $525Professionalmedian $141 · 10th to 90th $112 to $219
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 $131.83 Median $131.83 Typical High $134.90 | Facility | None | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $114.82 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $100.00 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $758.58 | Facility | None | $323.59 | $446.68 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $109.65 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $33.88 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $138.04 | $147.91 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $35.48 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $109.65 | $190.55 |
Community Health Options Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $112.20 | $154.88 | $208.93 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $38.02 | $51.29 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $117.49 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $151.36 | Facility | None | $128.82 | $131.83 | $151.36 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $120.23 | $131.83 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $31.62 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $100.00 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $109.65 | $154.88 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $38.02 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $117.49 | $169.82 |
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 $45.71 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $18.20 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $104.71 | $104.71 |
Where Maine sits
The same service costs 4.1 times more in Minnesota 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.
Maine· 18th of 51
$141
MN $363FL $89.13
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.