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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $120.23 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $40.74 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $95.50 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $776.25 | Facility | None | $331.13 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $114.82 | $134.90 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $41.69 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $93.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $144.54 | $154.88 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $107.15 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $120.23 | $162.18 | $229.09 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $50.12 | $67.61 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $109.65 | $158.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $125.89 | $134.90 | $234.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $40.74 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $95.50 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $112.20 | $158.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $48.98 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $107.15 | $169.82 |
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 $46.77 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $107.15 | $107.15 |
Where Maine sits
The same service costs 3.9 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.
Maine· 20th of 51
$145
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.