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 $93.33 Median $93.33 Typical High $239.88 | Facility | None | $93.33 | $93.33 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $85.11 | $93.33 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $30.90 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $63.10 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $616.60 | Facility | None | $436.52 | $602.56 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $97.72 | $141.25 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $41.69 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $97.72 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $602.56 | Facility | None | $338.84 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $120.23 | $141.25 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $40.74 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $100.00 | $213.80 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $107.15 | $151.36 | $302.00 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $43.65 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $107.15 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $107.15 | $131.83 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $38.90 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $97.72 | $208.93 |
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 $42.66 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $19.05 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $75.86 Typical High $79.43 | Professional | FX · Film X-ray | $67.61 | $75.86 | $79.43 |
Where New Hampshire 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.
New Hampshire· 16th of 51
$141
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.