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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $95.50 | $131.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $34.67 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $97.72 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $758.58 | Facility | None | $537.03 | $741.31 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $120.23 | $125.89 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $33.88 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $93.33 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $1,148.15 | Facility | None | $331.13 | $645.65 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $151.36 | $269.15 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $45.71 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $229.09 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $131.83 | $199.53 | $380.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $47.86 | $89.13 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $158.49 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $144.54 | $199.53 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $42.66 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $302.00 | Professional | TC · Technical part | $109.65 | $158.49 | $302.00 |
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 $37.15 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $37.15 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $26.92 Typical High $33.11 | Professional | 53 · Discontinued | $14.79 | $26.92 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $58.88 | $107.15 | $107.15 |
Where New Hampshire 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.
New Hampshire· 15th of 51
$200
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.