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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $51.29 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.84 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $50.12 | $64.57 | $64.57 |
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 $48.98 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $48.98 | $87.10 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $33.88 | $40.74 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $645.65 | Facility | None | $151.36 | $275.42 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $77.62 | $89.13 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $50.12 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $66.07 | $95.50 | $194.98 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $41.69 | $77.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $37.15 | $57.54 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $67.61 | $83.18 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $36.31 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $36.31 | $42.66 | $83.18 |
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 $22.39 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $22.39 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $8.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $35.48 | $91.20 | $91.20 |
Where New Hampshire 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.
New Hampshire· 22nd of 51
$87.10
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.