How much rates vary
Facilitymedian $316 · 10th to 90th $110 to $537Professionalmedian $123 · 10th to 90th $91 to $240
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 $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $81.28 | $109.65 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $28.84 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $79.43 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $60.26 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $35.48 Typical High $77.62 | Professional | 26 · Professional part | $21.88 | $35.48 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $537.03 | Facility | None | $389.05 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $87.10 | $123.03 | $218.78 |
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 $58.88 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $85.11 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $645.65 | Facility | None | $316.23 | $501.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $109.65 | $125.89 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $38.90 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $87.10 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $95.50 | $134.90 | $275.42 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $41.69 | $81.28 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $91.20 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $97.72 | $117.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $37.15 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $85.11 | $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 $36.31 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $57.54 | $87.10 | $87.10 |
Where New Hampshire sits
The same service costs 4.0 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
$123
MN $288FL $72.44
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.