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 Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $79.43 | $97.72 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $47.86 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $51.29 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $549.54 | Facility | None | $389.05 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $89.13 | $128.82 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $67.61 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $60.26 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $109.65 | $125.89 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $67.61 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $61.66 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $97.72 | $131.83 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $75.86 | $134.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $67.61 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $97.72 | $120.23 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $57.54 | $114.82 |
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 $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $14.79 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $58.88 | $79.43 | $79.43 |
Where New Hampshire 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.
New Hampshire· 11th of 51
$129
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.