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 $34.67 Median $34.67 Typical High $91.20 | Facility | None | $34.67 | $34.67 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $102.33 | Professional | None (both parts) | $32.36 | $34.67 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $14.79 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $67.61 | Professional | TC · Technical part | $18.20 | $19.95 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.38 Typical High $38.02 | Professional | 26 · Professional part | $10.96 | $17.38 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $251.19 | Facility | None | $181.97 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $40.74 | $58.88 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $26.92 | Professional | 26 · Professional part | $13.80 | $19.95 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $50.12 | Professional | TC · Technical part | $26.92 | $38.90 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $56.23 Typical High $104.71 | Professional | None (both parts) | $43.65 | $56.23 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $19.50 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $36.31 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $109.65 | Professional | None (both parts) | $37.15 | $53.70 | $109.65 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $19.50 | $38.90 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $75.86 | Professional | TC · Technical part | $26.92 | $37.15 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $37.15 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $18.20 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $28.18 | $50.12 |
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 $12.30 Median $17.38 Typical High $20.89 | Professional | 52 · Reduced service | $12.30 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.92 Typical High $8.32 | Professional | 53 · Discontinued | $5.01 | $6.92 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $19.95 | $28.18 | $28.18 |
Where New Hampshire 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.
New Hampshire· 12th of 51
$57.54
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.