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 $100.00 Median $100.00 Typical High $269.15 | Facility | None | $100.00 | $100.00 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | None (both parts) | $100.00 | $100.00 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $36.31 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $64.57 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $831.76 | Facility | None | $588.84 | $812.83 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $123.03 | $177.83 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $48.98 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $128.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $851.14 | Facility | None | $416.87 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $154.88 | $190.55 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $48.98 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $144.54 | $302.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $144.54 | $204.17 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $52.48 | $100.00 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $154.88 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $125.89 | $181.97 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $141.25 | $288.40 |
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 $50.12 Median $50.12 Typical High $66.07 | Professional | 52 · Reduced service | $50.12 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $26.30 | Professional | 53 · Discontinued | $19.95 | $19.95 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | FX · Film X-ray | $79.43 | $79.43 | $91.20 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$182
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.