How much rates vary
Facilitymedian $41 · 10th to 90th $26 to $204Professionalmedian $32 · 10th to 90th $23 to $50
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 $31.62 Median $50.12 Typical High $269.15 | Facility | None | $31.62 | $50.12 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $28.18 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $7.41 | $8.13 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $23.44 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $21.38 | $25.12 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $40.74 | Facility | None | $25.70 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $29.51 | $29.51 | $52.48 |
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 $21.88 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $21.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $204.17 Typical High $676.08 | Facility | None | $53.70 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $23.44 | $30.90 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $21.88 | $38.90 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $33.11 Typical High $51.29 | Professional | None | $0.20 | $33.11 | $51.29 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.07 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $0.07 | $8.71 | $12.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.13 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $0.13 | $23.99 | $38.02 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $4,265.80 | Facility | None | $31.62 | $31.62 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $21.88 | $30.90 | $44.67 |
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 $14.79 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $14.79 | $21.88 | $32.36 |
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 $15.85 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.92 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $27.54 | Professional | FX · Film X-ray | $25.12 | $25.12 | $27.54 |
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· 38th of 51
$31.62
AK $91.20FL $24.55
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.