How much rates vary
Facilitymedian $251 · 10th to 90th $158 to $1,660Professionalmedian $324 · 10th to 90th $186 to $575
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 $331.13 Median $1,318.26 Typical High $1,905.46 | Facility | None | $331.13 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $288.40 | $331.13 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $117.49 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $218.78 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $100.00 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $100.00 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $251.19 | Facility | None | $158.49 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $190.55 | $190.55 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $66.07 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $123.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $288.40 Typical High $645.65 | Facility | None | $128.82 | $288.40 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $213.80 | $363.08 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $74.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $302.00 | $512.86 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $302.00 Typical High $426.58 | Professional | None | $4.90 | $302.00 | $426.58 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $81.28 | $120.23 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $4.07 | $194.98 | $398.11 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.90 Median $4.90 Typical High $288.40 | Professional | None (both parts) | $4.90 | $4.90 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,265.80 | Facility | None | $190.55 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $186.21 | $281.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $489.78 | Professional | TC · Technical part | $123.03 | $151.36 | $489.78 |
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 $165.96 Median $165.96 Typical High $316.23 | Professional | 52 · Reduced service | $165.96 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | 53 · Discontinued | $67.61 | $67.61 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $269.15 Typical High $512.86 | Professional | FX · Film X-ray | $269.15 | $269.15 | $512.86 |
Where Nevada sits
The same service costs 24.0 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· 29th of 51
$324
VT $2,951UT $123
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.