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 $93.33 Median $93.33 Typical High $158.49 | Facility | None | $93.33 | $93.33 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $208.93 | Professional | None (both parts) | $83.18 | $93.33 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $31.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $61.66 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $67.61 | $199.53 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $39.81 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $501.19 Typical High $512.86 | Facility | None | $363.08 | $501.19 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $81.28 | $117.49 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $44.67 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $72.44 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $645.65 | Facility | None | $275.42 | $426.58 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $102.33 | $117.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $43.65 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $74.13 | $151.36 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $89.13 | $125.89 | $263.03 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $46.77 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $79.43 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $91.20 | $112.20 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $40.74 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $70.79 | $138.04 |
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 $33.11 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $13.18 | $18.62 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $53.70 | $74.13 | $74.13 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$117
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.