How much rates vary
Facilitymedian $138 · 10th to 90th $87 to $1,318Professionalmedian $141 · 10th to 90th $105 to $245
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 $131.83 Median $870.96 Typical High $1,621.81 | Facility | None | $131.83 | $870.96 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $131.83 | $131.83 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $47.86 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $83.18 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $85.11 | $134.90 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $32.36 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $138.04 | Facility | None | $87.10 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $104.71 | $104.71 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $38.02 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $66.07 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $154.88 Typical High $281.84 | Facility | None | $60.26 | $154.88 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $114.82 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $120.23 | $208.93 |
Hometown Health Setting Professional Modifier None Typical Low $1.95 Median $141.25 Typical High $208.93 | Professional | None | $1.95 | $141.25 | $208.93 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.49 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $0.49 | $43.65 | $66.07 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.48 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $1.48 | $100.00 | $162.18 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $4,265.80 | Facility | None | $107.15 | $107.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $100.00 | $154.88 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $83.18 | $186.21 |
4 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 $66.07 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.30 | $29.51 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | CT · Older CT scanner | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | FX · Film X-ray | $104.71 | $104.71 | $120.23 |
Where Nevada sits
The same service costs 20.4 times more in Vermont than in Utah. 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
$138
VT $1,585UT $77.62
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.