How much rates vary
Facilitymedian $49 · 10th to 90th $31 to $204Professionalmedian $37 · 10th to 90th $29 to $63
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 $38.90 Median $64.57 Typical High $204.17 | Facility | None | $38.90 | $64.57 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $33.11 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $11.22 | Professional | 26 · Professional part | $7.76 | $8.51 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $25.70 | $30.20 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $48.98 | Facility | None | $30.90 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $36.31 | $36.31 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $7.94 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $28.18 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $501.19 | Facility | None | $66.07 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $24.55 | $36.31 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $8.91 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $26.30 | $48.98 |
Hometown Health Setting Professional Modifier None Typical Low $0.27 Median $38.90 Typical High $60.26 | Professional | None | $0.27 | $38.90 | $60.26 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $9.12 Typical High $13.49 | Professional | 26 · Professional part | $0.09 | $9.12 | $13.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.18 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $0.18 | $30.20 | $47.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $4,265.80 | Facility | None | $37.15 | $37.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $24.55 | $37.15 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $9.12 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $27.54 | $38.02 |
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 $19.05 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | FX · Film X-ray | $30.90 | $30.90 | $33.88 |
Where Nevada sits
The same service costs 3.9 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· 38th of 51
$38.02
AK $112FL $28.84
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.