How much rates vary
Facilitymedian $63 · 10th to 90th $46 to $107Professionalmedian $9 · 10th to 90th $7 to $14
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 $5.75 Median $7.76 Typical High $7.76 | Professional | None (both parts) | $5.75 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $3.09 Typical High $3.09 | Professional | 26 · Professional part | $2.24 | $3.09 | $3.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $4.68 Typical High $4.68 | Professional | TC · Technical part | $3.47 | $4.68 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $107.15 | Facility | None | $45.71 | $63.10 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.75 Median $8.51 Typical High $14.13 | Professional | None (both parts) | $5.75 | $8.51 | $14.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.80 Typical High $5.13 | Professional | 26 · Professional part | $2.69 | $3.80 | $5.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.68 Median $6.46 Typical High $8.91 | Professional | TC · Technical part | $4.68 | $6.46 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.51 Median $8.91 Typical High $25.70 | Professional | None (both parts) | $8.51 | $8.91 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.31 Typical High $5.75 | Professional | 26 · Professional part | $3.24 | $3.31 | $5.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $5.62 Typical High $20.42 | Professional | TC · Technical part | $5.25 | $5.62 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $6.31 Median $9.55 Typical High $14.45 | Professional | None (both parts) | $6.31 | $9.55 | $14.45 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.80 Typical High $5.25 | Professional | 26 · Professional part | $3.09 | $3.80 | $5.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $7.24 Typical High $11.22 | Professional | TC · Technical part | $5.01 | $7.24 | $11.22 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | None (both parts) | $7.08 | $7.76 | $7.76 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.09 Typical High $3.09 | Professional | 26 · Professional part | $2.51 | $3.09 | $3.09 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.68 Typical High $4.68 | Professional | TC · Technical part | $4.27 | $4.68 | $4.68 |
United Setting Professional Modifier None (both parts) Typical Low $6.61 Median $9.33 Typical High $14.45 | Professional | None (both parts) | $6.61 | $9.33 | $14.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.89 Typical High $5.25 | Professional | 26 · Professional part | $2.69 | $3.89 | $5.25 |
United Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.62 Typical High $9.33 | Professional | TC · Technical part | $3.89 | $5.62 | $9.33 |
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 $2.88 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $2.88 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.12 | $1.55 | $1.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $6.17 Median $6.31 Typical High $6.31 | Professional | FX · Film X-ray | $6.17 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.55 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.41 | $1.55 | $1.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | FX · Film X-ray | $5.37 | $6.31 | $6.31 |
Where Maine sits
The same service costs 4.2 times more in Kansas 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· 38th of 51
$8.71
KS $23.99FL $5.75
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.