How much rates vary
Facilitymedian $28 · 10th to 90th $18 to $170Professionalmedian $22 · 10th to 90th $19 to $36
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 $21.88 Median $30.20 Typical High $97.72 | Facility | None | $21.88 | $30.20 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | None (both parts) | $21.88 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $10.00 | Professional | 26 · Professional part | $6.76 | $7.59 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.79 Typical High $22.39 | Professional | TC · Technical part | $14.13 | $14.79 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $18.20 | Professional | None (both parts) | $14.79 | $17.38 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $28.18 | Facility | None | $17.78 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $44.67 | Professional | None (both parts) | $20.42 | $20.42 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $15.49 | Professional | 26 · Professional part | $6.92 | $6.92 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $28.84 | Professional | TC · Technical part | $13.18 | $13.18 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $169.82 Typical High $501.19 | Facility | None | $32.36 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.99 Typical High $37.15 | Professional | None (both parts) | $20.42 | $23.99 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.94 Typical High $12.59 | Professional | 26 · Professional part | $6.17 | $7.94 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $15.85 Typical High $27.54 | Professional | TC · Technical part | $14.45 | $15.85 | $27.54 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $25.70 Typical High $36.31 | Professional | None | $0.20 | $25.70 | $36.31 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.07 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $0.07 | $8.13 | $11.75 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.13 Median $17.38 Typical High $23.99 | Professional | TC · Technical part | $0.13 | $17.38 | $23.99 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $4,265.80 | Facility | None | $21.38 | $21.38 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None (both parts) | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.99 Typical High $34.67 | Professional | None (both parts) | $18.20 | $23.99 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $5.37 | $7.94 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $13.80 Typical High $23.99 | Professional | TC · Technical part | $12.88 | $13.80 | $23.99 |
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 $10.96 Median $10.96 Typical High $12.02 | Professional | 52 · Reduced service | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | FX · Film X-ray | $17.38 | $17.38 | $19.05 |
Where Nevada sits
The same service costs 3.7 times more in Alaska 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· 43rd of 51
$22.39
AK $64.57FL $17.38
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.