How much rates vary
Facilitymedian $170 · 10th to 90th $105 to $1,318Professionalmedian $178 · 10th to 90th $126 to $288
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 $158.49 Median $977.24 Typical High $1,621.81 | Facility | None | $158.49 | $977.24 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $158.49 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $109.65 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $100.00 | $125.89 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $60.26 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $169.82 | Facility | None | $104.71 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $125.89 | $125.89 | $269.15 |
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 $87.10 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $87.10 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $204.17 Typical High $281.84 | Facility | None | $60.26 | $204.17 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $141.25 | $208.93 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $50.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $165.96 | $251.19 |
Hometown Health Setting Professional Modifier None Typical Low $2.04 Median $190.55 Typical High $251.19 | Professional | None | $2.04 | $190.55 | $251.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.59 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $0.59 | $51.29 | $70.79 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.48 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $1.48 | $138.04 | $218.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $4,265.80 | Facility | None | $128.82 | $128.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $120.23 | $186.21 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $109.65 | $239.88 |
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 $79.43 Median $79.43 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | CT · Older CT scanner | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | FX · Film X-ray | $125.89 | $125.89 | $144.54 |
Where Nevada sits
The same service costs 4.9 times more in Alaska 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· 40th of 51
$178
AK $513UT $105
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.