How much rates vary
Facilitymedian $123 · 10th to 90th $120 to $562Professionalmedian $123 · 10th to 90th $93 to $200
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $112.20 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $36.31 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $81.28 | $83.18 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $794.33 | Facility | None | $338.84 | $467.74 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $97.72 | $120.23 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $120.23 | $131.83 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $91.20 | $158.49 |
Community Health Options Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $87.10 | $123.03 | $190.55 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $42.66 | $57.54 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $85.11 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $112.20 | $120.23 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $36.31 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $85.11 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $87.10 | $107.15 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $42.66 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $44.67 | $67.61 | $128.82 |
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 $35.48 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $14.13 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $23.99 | $23.99 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $95.50 | $95.50 |
Where Maine sits
The same service costs 4.2 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.
Maine· 21st of 51
$123
AK $302UT $72.44
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.