How much rates vary
Facilitymedian $427 · 10th to 90th $162 to $912Professionalmedian $178 · 10th to 90th $126 to $269
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $131.83 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.02 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $125.89 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $912.01 | Facility | None | $389.05 | $537.03 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $123.03 | $213.80 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $177.83 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $154.88 | $257.04 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $104.71 | $213.80 | $380.19 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $125.89 | $154.88 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $45.71 | $61.66 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $114.82 | $199.53 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $131.83 | $162.18 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.02 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $125.89 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $120.23 | $154.88 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $44.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $295.12 | Professional | TC · Technical part | $75.86 | $114.82 | $295.12 |
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 $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $46.77 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $18.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $131.83 | $131.83 |
Where Maine sits
The same service costs 4.9 times more in Wyoming 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· 18th of 51
$178
WY $501UT $102
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.