How much rates vary
Facilitymedian $363 · 10th to 90th $263 to $617Professionalmedian $191 · 10th to 90th $102 to $309
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 Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $138.04 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $616.60 | Facility | None | $263.03 | $363.08 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | None (both parts) | $102.33 | $102.33 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $141.25 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $104.71 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $194.98 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $120.23 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $74.13 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $169.82 | $213.80 | $338.84 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $125.89 | $199.53 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $89.13 | $138.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $147.91 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $72.44 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $162.18 | $208.93 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $100.00 | $123.03 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $83.18 | $131.83 |
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 $69.18 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $117.49 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $117.49 | $147.91 | $147.91 |
Where Maine sits
The same service costs 4.2 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· 23rd of 51
$195
AK $501FL $120
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.