How much rates vary
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 $5.37 Median $10.47 Typical High $15.85 | Professional | None (both parts) | $5.37 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $2.57 Typical High $6.17 | Professional | 26 · Professional part | $2.00 | $2.57 | $6.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $7.94 Typical High $10.00 | Professional | TC · Technical part | $3.39 | $7.94 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $47.86 | Facility | None | $33.88 | $46.77 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $20.42 | Professional | None (both parts) | $7.76 | $10.96 | $20.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $3.89 Typical High $6.76 | Professional | 26 · Professional part | $2.69 | $3.89 | $6.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $7.24 Typical High $12.59 | Professional | TC · Technical part | $5.01 | $7.24 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $38.90 Typical High $645.65 | Facility | None | $23.99 | $38.90 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.91 Median $10.96 Typical High $30.20 | Professional | None (both parts) | $8.91 | $10.96 | $30.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $3.72 Typical High $7.76 | Professional | 26 · Professional part | $3.16 | $3.72 | $7.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $7.24 Typical High $20.42 | Professional | TC · Technical part | $6.17 | $7.24 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $5.50 Median $10.00 Typical High $27.54 | Professional | None (both parts) | $5.50 | $10.00 | $27.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.07 Typical High $7.41 | Professional | 26 · Professional part | $2.95 | $4.07 | $7.41 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $5.62 Median $9.33 Typical High $18.20 | Professional | TC · Technical part | $5.62 | $9.33 | $18.20 |
United Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.48 Typical High $30.20 | Professional | None (both parts) | $8.91 | $11.48 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.80 Typical High $7.08 | Professional | 26 · Professional part | $2.88 | $3.80 | $7.08 |
United Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $6.92 Typical High $18.20 | Professional | TC · Technical part | $5.37 | $6.92 | $18.20 |
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 $2.69 Median $5.25 Typical High $6.17 | Professional | 52 · Reduced service | $2.69 | $5.25 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $2.09 Typical High $2.45 | Professional | 53 · Discontinued | $1.07 | $2.09 | $2.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.27 Median $8.32 Typical High $8.32 | Professional | FX · Film X-ray | $4.27 | $8.32 | $8.32 |
Where New Hampshire 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.
New Hampshire· 21st of 51
$10.96
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.