How much rates vary
Facilitymedian $100 · 10th to 90th $95 to $363Professionalmedian $102 · 10th to 90th $83 to $162
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $85.11 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $37.15 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $54.95 | $60.26 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $537.03 | Facility | None | $229.09 | $316.23 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $81.28 | $104.71 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $51.29 | $63.10 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $102.33 | $107.15 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $67.61 | $114.82 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $102.33 | $154.88 | $162.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $79.43 | $112.20 | $158.49 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $43.65 | $58.88 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $69.18 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Facility | None | $95.50 | $95.50 | $100.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $93.33 | $95.50 | $162.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $37.15 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $60.26 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $79.43 | $114.82 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $43.65 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $69.18 | $102.33 |
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 $33.11 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $13.18 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $75.86 | $75.86 |
Where Maine sits
The same service costs 3.6 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· 22nd of 51
$102
AK $245TX $67.61
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.