How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $537Professionalmedian $151 · 10th to 90th $117 to $234
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 $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $120.23 | $141.25 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $38.90 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $100.00 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $776.25 | Facility | None | $338.84 | $467.74 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $117.49 | $138.04 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $39.81 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $97.72 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $147.91 | $154.88 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $43.65 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $112.20 | $194.98 |
Community Health Options Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $138.04 | $190.55 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $120.23 | $165.96 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $46.77 | $63.10 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $117.49 | $165.96 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $162.18 | Facility | None | $138.04 | $141.25 | $162.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $125.89 | $141.25 | $234.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $38.90 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $100.00 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $114.82 | $162.18 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $46.77 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $114.82 | $173.78 |
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 $47.86 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $100.00 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $23.99 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $100.00 | $112.20 | $112.20 |
Where Maine sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 18th of 51
$151
AK $355FL $97.72
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.