How much rates vary
Facilitymedian $309 · 10th to 90th $224 to $525Professionalmedian $141 · 10th to 90th $65 to $224
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 $102.33 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $102.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $75.86 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $64.57 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $524.81 | Facility | None | $223.87 | $309.03 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $199.53 | Professional | None (both parts) | $64.57 | $64.57 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $141.25 | $144.54 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $79.43 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $64.57 | $66.07 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $131.83 | $162.18 | $251.19 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $81.28 | $123.03 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $83.18 | $128.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $109.65 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $75.86 | $128.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $123.03 | $158.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $81.28 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $75.86 | $117.49 |
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 $51.29 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $89.13 | $112.20 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $89.13 | $112.20 | $112.20 |
Where Maine sits
The same service costs 4.5 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· 24th of 51
$141
AK $372FL $83.18
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.