How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $97.72 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $97.72 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $47.86 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $93.33 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | TC · Technical part | $63.10 | $63.10 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $154.88 | $165.96 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $77.62 | $151.36 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $128.82 | $177.83 | $346.74 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $89.13 | $169.82 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $89.13 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $125.89 | $162.18 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $83.18 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $79.43 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $138.04 | Facility | None | $61.66 | $112.20 | $138.04 |
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 $48.98 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $77.62 | $100.00 | $100.00 |
Where New Hampshire 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.
New Hampshire· 20th of 51
$155
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.