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 $125.89 Median $125.89 Typical High $229.09 | Facility | None | $125.89 | $125.89 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $112.20 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $33.88 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $93.33 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $97.72 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $41.69 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $741.31 | Facility | None | $524.81 | $724.44 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $117.49 | $125.89 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $34.67 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $85.11 | $91.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $616.60 Typical High $724.44 | Facility | None | $407.38 | $616.60 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $138.04 | $169.82 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $46.77 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $123.03 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $128.82 | $186.21 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $48.98 | $93.33 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $93.33 | $128.82 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $123.03 | $154.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $43.65 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $117.49 | $229.09 |
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 $48.98 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $25.70 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $77.62 | $102.33 | $102.33 |
Where New Hampshire 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.
New Hampshire· 17th of 51
$155
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.