How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $589Professionalmedian $148 · 10th to 90th $123 to $229
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $123.03 | $141.25 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $45.71 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $93.33 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $870.96 | Facility | None | $380.19 | $524.81 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $114.82 | $162.18 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $47.86 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $77.62 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $147.91 | $154.88 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $50.12 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $102.33 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $120.23 | $162.18 | $218.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $53.70 | $72.44 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $109.65 | $147.91 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $141.25 | Facility | None | $138.04 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $131.83 | $141.25 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $45.71 | $72.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $93.33 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $114.82 | $165.96 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $54.95 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $109.65 | $158.49 |
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 $47.86 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $97.72 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $97.72 | $112.20 | $112.20 |
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· 20th of 51
$148
AK $355TX $93.33
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.