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 $63.10 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $63.10 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $19.50 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $43.65 | $46.77 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $416.87 | Facility | None | $181.97 | $251.19 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $48.98 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $26.30 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $43.65 | $63.10 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $77.62 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $25.70 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $54.95 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $70.79 | $87.10 | $128.82 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $30.20 | $41.69 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $45.71 | $56.23 | $85.11 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $63.10 | $72.44 | $79.43 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $19.50 | $25.12 | $25.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $43.65 | $46.77 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $60.26 | $87.10 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $32.36 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $54.95 | $89.13 |
2 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 $54.95 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $54.95 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $50.12 | $57.54 | $57.54 |
Where Maine sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 22nd of 51
$81.28
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.