How much rates vary
Facilitymedian $41 · 10th to 90th $26 to $170Professionalmedian $31 · 10th to 90th $23 to $52
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 $31.62 Median $48.98 Typical High $158.49 | Facility | None | $31.62 | $48.98 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $27.54 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $7.94 | $8.91 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $22.91 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $24.55 | $30.90 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $40.74 | Facility | None | $25.70 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $29.51 | $29.51 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $8.32 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $21.38 | $38.90 |
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 $21.38 Median $30.20 Typical High $52.48 | Professional | None (both parts) | $21.38 | $30.20 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $9.12 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.89 Typical High $38.02 | Professional | TC · Technical part | $13.80 | $20.89 | $38.02 |
Hometown Health Setting Professional Modifier None Typical Low $0.22 Median $32.36 Typical High $50.12 | Professional | None | $0.22 | $32.36 | $50.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $0.09 | $9.12 | $14.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.13 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $0.13 | $23.44 | $36.31 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $4,265.80 | Facility | None | $30.90 | $30.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $21.38 | $30.90 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $9.33 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $13.49 | $21.88 | $30.90 |
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 $15.85 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.08 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | FX · Film X-ray | $25.70 | $25.70 | $28.18 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in New York. 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
$31.62
AK $93.33NY $21.88
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.