How much rates vary
Facilitymedian $44 · 10th to 90th $28 to $224Professionalmedian $32 · 10th to 90th $25 to $54
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 $32.36 Median $35.48 Typical High $223.87 | Facility | None | $32.36 | $35.48 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $48.98 | Professional | None (both parts) | $28.84 | $32.36 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.13 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $24.55 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.92 Typical High $32.36 | Professional | None (both parts) | $26.30 | $26.92 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $43.65 | Facility | None | $27.54 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $30.20 | $30.20 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $16.22 | Professional | 26 · Professional part | $7.59 | $7.59 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $22.91 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $169.82 Typical High $501.19 | Facility | None | $54.95 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $24.55 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.71 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $22.91 | $41.69 |
Hometown Health Setting Professional Modifier None Typical Low $0.22 Median $34.67 Typical High $53.70 | Professional | None | $0.22 | $34.67 | $53.70 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.08 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $0.08 | $8.71 | $12.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.14 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $0.14 | $25.70 | $41.69 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $4,265.80 | Facility | None | $33.11 | $33.11 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $22.91 | $32.36 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $5.75 | $8.71 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $15.14 | $22.91 | $33.88 |
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 $16.22 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.24 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $25.70 | $28.84 |
Where Nevada sits
The same service costs 6.0 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· 40th of 51
$32.36
VT $155FL $25.70
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.