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 $89.13 Median $89.13 Typical High $138.04 | Facility | None | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $69.18 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $26.92 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $63.10 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 26 · Professional part | $32.36 | $32.36 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $380.19 | Facility | None | $269.15 | $371.54 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $61.66 | $87.10 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $39.81 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $47.86 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $645.65 | Facility | None | $213.80 | $478.63 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $75.86 | $89.13 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $128.82 | Professional | TC · Technical part | $41.69 | $53.70 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $67.61 | $102.33 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $42.66 | $87.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $63.10 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $229.09 | Professional | None (both parts) | $85.11 | $102.33 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $66.07 | $162.18 |
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 $34.67 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $34.67 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $56.23 | $70.79 | $70.79 |
Where New Hampshire sits
The same service costs 4.1 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· 18th of 51
$95.50
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.