How much rates vary
Facilitymedian $331 · 10th to 90th $240 to $562Professionalmedian $275 · 10th to 90th $120 to $417
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 $173.78 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $173.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $562.34 | Facility | None | $239.88 | $331.13 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $257.04 | $323.59 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $47.86 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $257.04 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $114.82 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $48.98 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $70.79 | $128.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $134.90 | $213.80 | $331.13 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $52.48 | $83.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $138.04 | $281.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $194.98 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $162.18 | $263.03 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $194.98 | $275.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $51.29 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $154.88 | $234.42 | $323.59 |
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 $85.11 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $138.04 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $38.90 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $154.88 | $218.78 | $218.78 |
Where Maine sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 9th of 51
$275
NE $407NJ $112
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.