How much rates vary
Facilitymedian $219 · 10th to 90th $138 to $1,318Professionalmedian $224 · 10th to 90th $166 to $398
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 $208.93 Median $1,230.27 Typical High $1,819.70 | Facility | None | $208.93 | $1,230.27 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $204.17 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $66.07 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $269.15 | Professional | TC · Technical part | $141.25 | $141.25 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $251.19 | Professional | None (both parts) | $66.07 | $81.28 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $43.65 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $218.78 | Facility | None | $138.04 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $165.96 | $165.96 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $51.29 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $112.20 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $263.03 Typical High $467.74 | Facility | None | $102.33 | $263.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $186.21 | $257.04 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $60.26 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $194.98 | $323.59 |
Hometown Health Setting Professional Modifier None Typical Low $2.75 Median $223.87 Typical High $295.12 | Professional | None | $2.75 | $223.87 | $295.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.69 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $0.69 | $64.57 | $93.33 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $2.04 | $162.18 | $263.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $4,265.80 | Facility | None | $165.96 | $165.96 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $165.96 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $53.70 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $144.54 | $302.00 |
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 $102.33 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | FX · Film X-ray | $165.96 | $165.96 | $190.55 |
Where Nevada sits
The same service costs 5.9 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· 41st of 51
$219
VT $741UT $126
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.