How much rates vary
Facilitymedian $42 · 10th to 90th $26 to $170Professionalmedian $32 · 10th to 90th $26 to $54
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $32.36 Median $32.36 Typical High $35.48 | Facility | None | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $37.15 | Professional | None (both parts) | $30.20 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $11.22 | Professional | 26 · Professional part | $9.12 | $9.77 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $27.54 | Professional | TC · Technical part | $21.38 | $22.39 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $41.69 | Facility | None | $26.30 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $30.20 | $30.20 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $20.42 | Professional | 26 · Professional part | $9.12 | $9.12 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $21.38 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $169.82 Typical High $501.19 | Facility | None | $51.29 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $26.30 | $33.88 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $10.23 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $23.44 | $38.90 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $33.88 Typical High $51.29 | Professional | None | $0.25 | $33.88 | $51.29 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $0.09 | $10.72 | $15.85 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.16 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $0.16 | $23.44 | $35.48 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $4,265.80 | Facility | None | $31.62 | $31.62 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $25.70 | $32.36 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $10.47 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $16.98 | $21.38 | $32.36 |
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 $16.22 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.24 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $25.70 | $28.84 |
Where Nevada 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.
Nevada· 40th of 51
$32.36
AK $95.50FL $25.12
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.