How much rates vary
Facilitymedian $25 · 10th to 90th $16 to $170Professionalmedian $20 · 10th to 90th $17 to $36
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 $18.20 Median $18.20 Typical High $19.95 | Facility | None | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $26.92 | Professional | None (both parts) | $18.20 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $9.77 | $10.00 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $15.49 | Professional | TC · Technical part | $8.13 | $8.13 | $15.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None (both parts) | $13.18 | $13.18 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $25.12 | Facility | None | $15.85 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $39.81 | Professional | None (both parts) | $16.98 | $16.98 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $9.12 | $9.12 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $18.20 | Professional | TC · Technical part | $7.59 | $7.59 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $169.82 Typical High $501.19 | Facility | None | $19.50 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $25.70 Typical High $37.15 | Professional | None (both parts) | $17.78 | $25.70 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $10.72 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.30 Typical High $20.89 | Professional | TC · Technical part | $9.12 | $12.30 | $20.89 |
Hometown Health Setting Professional Modifier None Typical Low $0.32 Median $22.39 Typical High $32.36 | Professional | None | $0.32 | $22.39 | $32.36 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.11 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $0.11 | $11.48 | $16.60 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.21 Median $11.22 Typical High $15.85 | Professional | TC · Technical part | $0.21 | $11.22 | $15.85 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.32 Median $0.32 Typical High $28.84 | Professional | None (both parts) | $0.32 | $0.32 | $28.84 |
Select Health Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $4,265.80 | Facility | None | $19.05 | $19.05 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.88 Typical High $40.74 | Professional | None (both parts) | $19.05 | $21.88 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $10.72 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.00 Typical High $18.20 | Professional | TC · Technical part | $8.32 | $10.00 | $18.20 |
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 $9.12 Median $9.12 Typical High $10.00 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.98 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | FX · Film X-ray | $14.45 | $14.45 | $15.85 |
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· 44th of 51
$19.95
AK $56.23FL $15.49
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.