How much rates vary
Facilitymedian $275 · 10th to 90th $132 to $575Professionalmedian $174 · 10th to 90th $117 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 $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 $100.00 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $100.00 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $41.69 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $89.13 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $575.44 | Facility | None | $245.47 | $338.84 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $123.03 | $173.78 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $42.66 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $169.82 | $181.97 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $45.71 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $131.83 | $229.09 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $138.04 | $190.55 | $257.04 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $48.98 | $66.07 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $141.25 | $190.55 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | 26 · Professional part | $4,786.30 | $4,786.30 | $4,786.30 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $102.33 | $131.83 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $41.69 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $89.13 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $134.90 | $190.55 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $50.12 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $144.54 | $204.17 |
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 $50.12 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $50.12 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.95 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $104.71 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $104.71 | $104.71 |
Where Maine sits
The same service costs 3.7 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· 18th of 51
$174
AK $363TX $97.72
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.