How much rates vary
Facilitymedian $50 · 10th to 90th $32 to $234Professionalmedian $37 · 10th to 90th $28 to $60
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 $37.15 Median $40.74 Typical High $257.04 | Facility | None | $37.15 | $40.74 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $32.36 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $8.51 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $24.55 | $28.18 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $25.70 | $30.20 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.88 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $12.88 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $50.12 | Facility | None | $31.62 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $34.67 | $34.67 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $7.94 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $26.92 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $169.82 Typical High $501.19 | Facility | None | $64.57 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $25.12 | $35.48 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $9.12 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $17.38 | $25.70 | $47.86 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $38.90 Typical High $61.66 | Professional | None | $0.25 | $38.90 | $61.66 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $0.09 | $9.12 | $14.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.16 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $0.16 | $29.51 | $47.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $4,265.80 | Facility | None | $38.02 | $38.02 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $24.55 | $35.48 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $9.12 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $26.30 | $37.15 |
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 $18.62 Median $18.62 Typical High $20.42 | Professional | 52 · Reduced service | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.13 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | FX · Film X-ray | $29.51 | $29.51 | $32.36 |
Where Nevada sits
The same service costs 13.5 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· 37th of 51
$37.15
VT $389FL $28.84
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.