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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $60.26 | $67.61 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $28.18 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $38.90 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $436.52 | Facility | None | $309.03 | $426.58 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $69.18 | $100.00 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $61.66 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $645.65 | Facility | None | $245.47 | $371.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $87.10 | $102.33 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $38.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $63.10 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $75.86 | $107.15 | $223.87 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $40.74 | $79.43 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $70.79 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $81.28 | $100.00 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $36.31 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $61.66 | $123.03 |
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 $30.20 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $13.49 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $47.86 | $53.70 | $57.54 |
Where New Hampshire sits
The same service costs 4.4 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· 15th of 51
$100
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.