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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $120.23 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $66.07 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $95.50 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $630.96 | Facility | None | $269.15 | $371.54 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $154.88 | $229.09 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $75.86 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $181.97 | $186.21 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $93.33 | $109.65 | $269.15 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $144.54 | $234.42 | $371.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $81.28 | $125.89 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $154.88 | $239.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $134.90 | $162.18 | $257.04 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $66.07 | $87.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $95.50 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $134.90 | $190.55 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $79.43 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $109.65 | $186.21 |
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 $54.95 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $128.82 | $128.82 |
Where Maine sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$186
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.