How much rates vary
Facilitymedian $170 · 10th to 90th $107 to $1,318Professionalmedian $178 · 10th to 90th $126 to $331
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 $181.97 Median $1,318.26 Typical High $1,819.70 | Facility | None | $181.97 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $158.49 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $57.54 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $104.71 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $104.71 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $37.15 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $169.82 | Facility | None | $107.15 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $346.74 | Professional | None (both parts) | $125.89 | $125.89 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $44.67 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $83.18 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $190.55 Typical High $281.84 | Facility | None | $60.26 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $144.54 | $208.93 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $53.70 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $158.49 | $257.04 |
Hometown Health Setting Professional Modifier None Typical Low $2.34 Median $177.83 Typical High $251.19 | Professional | None | $2.34 | $177.83 | $251.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.62 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $0.62 | $51.29 | $77.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.74 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $1.74 | $131.83 | $208.93 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $128.82 | $194.98 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $43.65 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $112.20 | $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 $32.36 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | CT · Older CT scanner | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | FX · Film X-ray | $128.82 | $128.82 | $147.91 |
Where Nevada sits
The same service costs 5.2 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· 41st of 51
$178
AK $525UT $100
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.