How much rates vary
Facilitymedian $316 · 10th to 90th $126 to $617Professionalmedian $132 · 10th to 90th $102 to $251
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 $123.03 Median $125.89 Typical High $151.36 | Facility | None | $123.03 | $125.89 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $85.11 | $125.89 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $31.62 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $95.50 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $81.28 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $23.99 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $616.60 | Facility | None | $436.52 | $616.60 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $97.72 | $104.71 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $31.62 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $72.44 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $645.65 | Facility | None | $281.84 | $489.78 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $117.49 | $144.54 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $42.66 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $100.00 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $107.15 | $144.54 | $316.23 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $44.67 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $100.00 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $109.65 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $39.81 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $93.33 | $165.96 |
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 $25.70 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $25.70 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $10.47 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $41.69 | $100.00 | $100.00 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$132
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.