How much rates vary
Facilitymedian $47 · 10th to 90th $30 to $234Professionalmedian $36 · 10th to 90th $31 to $60
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 $36.31 Median $39.81 Typical High $269.15 | Facility | None | $36.31 | $39.81 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $36.31 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $8.91 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $25.70 | $27.54 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | None (both parts) | $23.99 | $23.99 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $46.77 | Facility | None | $29.51 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $33.88 | $33.88 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $24.55 | Professional | 26 · Professional part | $8.32 | $8.32 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $25.70 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $204.17 Typical High $676.08 | Facility | None | $61.66 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $30.90 | $38.02 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $10.96 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $26.92 | $45.71 |
Hometown Health Setting Professional Modifier None Typical Low $0.28 Median $40.74 Typical High $60.26 | Professional | None | $0.28 | $40.74 | $60.26 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.12 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $0.12 | $10.72 | $15.14 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.16 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $0.16 | $28.84 | $43.65 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $4,265.80 | Facility | None | $35.48 | $35.48 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None (both parts) | $27.54 | $27.54 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $28.84 | $36.31 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $18.62 | $25.70 | $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 $18.20 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | FX · Film X-ray | $28.84 | $28.84 | $31.62 |
Where Nevada sits
The same service costs 3.6 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· 43rd of 51
$36.31
AK $105FL $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.