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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $218.78 | $218.78 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $81.28 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $138.04 | $138.04 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,174.90 | $1,621.81 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $263.03 | $380.19 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $3,019.95 | Facility | None | $1,023.29 | $1,548.82 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $257.04 | $371.54 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $112.20 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $263.03 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $288.40 | $416.87 | $870.96 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $87.10 | $120.23 | $234.42 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $199.53 | $281.84 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $213.80 | $346.74 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $104.71 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $128.82 | $251.19 | $512.86 |
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 $109.65 Median $109.65 Typical High $154.88 | Professional | 52 · Reduced service | $109.65 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | 53 · Discontinued | $43.65 | $43.65 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | FX · Film X-ray | $177.83 | $177.83 | $213.80 |
Where New Hampshire sits
The same service costs 5.0 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.
New Hampshire· 11th of 51
$380
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.