How much rates vary
Facilitymedian $83 · 10th to 90th $42 to $195Professionalmedian $49 · 10th to 90th $35 to $78
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $34.67 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $16.22 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $25.12 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $194.98 | Facility | None | $83.18 | $114.82 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $34.67 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $26.30 | Professional | 26 · Professional part | $13.80 | $16.60 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $22.91 | $29.51 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $41.69 | $48.98 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $16.60 | $17.78 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $32.36 | $57.54 |
Community Health Options Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Community Health Options Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $37.15 | $50.12 | $77.62 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $19.50 | $26.30 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $33.11 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $34.67 | $41.69 | $72.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $16.22 | $26.92 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $25.12 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $34.67 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $14.13 | $19.05 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $22.91 | $46.77 |
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 $12.88 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $12.88 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.13 | $8.32 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $28.18 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $17.38 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $28.18 | $33.11 | $33.11 |
Where Maine sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$48.98
AK $117FL $28.84
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.