How much rates vary
Facilitymedian $52 · 10th to 90th $33 to $282Professionalmedian $40 · 10th to 90th $31 to $66
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 $39.81 Median $57.54 Typical High $295.12 | Facility | None | $39.81 | $57.54 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $39.81 | $39.81 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $10.72 | $10.96 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $29.51 | $29.51 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $27.54 | $31.62 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $52.48 | Facility | None | $33.11 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $38.02 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $10.23 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $27.54 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $676.08 | Facility | None | $66.07 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $31.62 | $40.74 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $11.75 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $29.51 | $50.12 |
Hometown Health Setting Professional Modifier None Typical Low $0.30 Median $42.66 Typical High $66.07 | Professional | None | $0.30 | $42.66 | $66.07 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.12 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $0.12 | $12.30 | $17.78 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.18 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $0.18 | $29.51 | $47.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $4,265.80 | Facility | None | $40.74 | $40.74 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $30.20 | $40.74 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $11.48 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $26.92 | $40.74 |
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 $19.95 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $19.95 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $32.36 | $35.48 |
Where Nevada sits
The same service costs 12.6 times more in Vermont than in Florida. 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
$39.81
VT $389FL $30.90
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.