How much rates vary
Facilitymedian $200 · 10th to 90th $123 to $1,318Professionalmedian $209 · 10th to 90th $151 to $355
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 $213.80 Median $1,318.26 Typical High $1,819.70 | Facility | None | $213.80 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $186.21 | $190.55 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $63.10 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $125.89 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $199.53 | Facility | None | $123.03 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $151.36 | $151.36 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $50.12 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $100.00 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $467.74 | Facility | None | $102.33 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $169.82 | $251.19 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $61.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $194.98 | $295.12 |
Hometown Health Setting Professional Modifier None Typical Low $2.40 Median $223.87 Typical High $309.03 | Professional | None | $2.40 | $223.87 | $309.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.68 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $0.68 | $64.57 | $93.33 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.70 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $1.70 | $158.49 | $275.42 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $4,265.80 | Facility | None | $151.36 | $151.36 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $144.54 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $123.03 | $288.40 |
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 $95.50 Median $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $38.02 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | CT · Older CT scanner | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | FX · Film X-ray | $151.36 | $151.36 | $173.78 |
Where Nevada sits
The same service costs 5.9 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
$204
AK $617UT $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.