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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $85.11 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $85.11 | $91.20 |
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 $89.13 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $89.13 | $131.83 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $125.89 | $131.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $38.02 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $93.33 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $102.33 | $138.04 | $186.21 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $40.74 | $54.95 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $97.72 | $131.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $93.33 | $120.23 | $131.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $35.48 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $85.11 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $100.00 | $141.25 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $100.00 | $141.25 |
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 $41.69 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $75.86 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $19.05 | $23.99 | $23.99 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $75.86 | $95.50 | $95.50 |
Where Maine 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.
Maine· 18th of 51
$126
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.