How much rates vary
Facilitymedian $43 · 10th to 90th $27 to $170Professionalmedian $33 · 10th to 90th $27 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 $33.11 Median $33.11 Typical High $36.31 | Facility | None | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $30.90 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $10.96 | Professional | 26 · Professional part | $8.13 | $8.51 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $22.91 | $24.55 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $48.98 | Professional | None (both parts) | $21.88 | $21.88 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $42.66 | Facility | None | $26.92 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $30.90 | $30.90 | $57.54 |
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 $22.91 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $22.91 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $169.82 Typical High $501.19 | Facility | None | $53.70 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $26.92 | $33.11 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $9.12 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $24.55 | $40.74 |
Hometown Health Setting Professional Modifier None Typical Low $0.27 Median $35.48 Typical High $52.48 | Professional | None | $0.27 | $35.48 | $52.48 |
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 $26.30 Typical High $38.90 | Professional | TC · Technical part | $0.18 | $26.30 | $38.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $4,265.80 | Facility | None | $32.36 | $32.36 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $25.12 | $33.11 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.12 Typical High $13.49 | Professional | 26 · Professional part | $6.03 | $9.12 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $17.38 | $22.39 | $33.88 |
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 $16.60 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $6.61 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | FX · Film X-ray | $26.30 | $26.30 | $28.84 |
Where Nevada sits
The same service costs 3.5 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· 39th of 51
$33.11
AK $87.10FL $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.