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 $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $26.92 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $11.48 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $25.12 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $181.97 | Facility | None | $77.62 | $107.15 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $28.18 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $13.18 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $30.20 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $38.02 | $39.81 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $12.30 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $26.92 | $51.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $33.11 | $39.81 | $61.66 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $18.62 | Professional | 26 · Professional part | $11.48 | $14.45 | $18.62 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $27.54 | $43.65 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $28.84 | $36.31 | $63.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $11.48 | $18.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $25.12 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | None (both parts) | $30.20 | $38.90 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.49 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $15.49 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $25.12 | $44.67 |
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 $23.44 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $23.44 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $23.44 | $29.51 | $29.51 |
Where Maine sits
The same service costs 3.8 times more in Alaska 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· 26th of 51
$38.90
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.