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 $112.20 Median $120.23 Typical High $169.82 | Facility | None | $112.20 | $120.23 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $295.12 | Professional | None (both parts) | $102.33 | $120.23 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $27.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $93.33 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $263.03 | Professional | None (both parts) | $89.13 | $117.49 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $691.83 | Facility | None | $489.78 | $676.08 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $109.65 | $154.88 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $38.02 | $60.26 |
Anthem BCBS 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 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $707.95 | Facility | None | $398.11 | $575.44 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $128.82 | $158.49 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.02 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $120.23 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $120.23 | $177.83 | $346.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $40.74 | $75.86 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $125.89 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $107.15 | $147.91 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $114.82 | $234.42 |
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 $46.77 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $74.13 | $95.50 | $95.50 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$155
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.