How much rates vary
Facilitymedian $288 · 10th to 90th $209 to $490Professionalmedian $110 · 10th to 90th $89 to $178
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 Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $87.10 | $104.71 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $56.23 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $47.86 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $489.78 | Facility | None | $208.93 | $288.40 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $89.13 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $57.54 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $41.69 | $52.48 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $109.65 | $114.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $61.66 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $52.48 | $54.95 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $89.13 | $125.89 | $169.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $67.61 | $91.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $57.54 | $79.43 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $89.13 | $104.71 | $177.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $56.23 | $87.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $45.71 | $47.86 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $87.10 | $125.89 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $66.07 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $38.90 | $57.54 | $85.11 |
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 $36.31 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $72.44 | $83.18 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $72.44 | $83.18 | $83.18 |
Where Maine sits
The same service costs 4.2 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· 24th of 51
$110
AK $275TX $66.07
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.