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 Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $125.89 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $56.23 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $134.90 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $870.96 | Facility | None | $380.19 | $524.81 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $120.23 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $50.12 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $173.78 | $199.53 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $123.03 | $138.04 | $257.04 |
Community Health Options Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Community Health Options 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 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $190.55 | $229.09 | $354.81 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $75.86 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $131.83 | $162.18 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $281.84 | Professional | None (both parts) | $125.89 | $190.55 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $56.23 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $134.90 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $158.49 | $223.87 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $162.18 | $229.09 |
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 FX · Film X-ray Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $107.15 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $229.09 Typical High $309.03 | Professional | 50 · Both sides | $181.97 | $229.09 | $309.03 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $107.15 | $154.88 | $154.88 |
Where Maine sits
The same service costs 5.2 times more in Alaska than in New York. 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· 17th of 51
$191
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.