How much rates vary
Facilitymedian $45 · 10th to 90th $28 to $224Professionalmedian $34 · 10th to 90th $25 to $55
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 $34.67 Median $38.02 Typical High $234.42 | Facility | None | $34.67 | $38.02 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $30.90 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $8.13 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $26.30 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None (both parts) | $23.44 | $27.54 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $44.67 | Facility | None | $28.18 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $32.36 | $32.36 | $58.88 |
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 $24.55 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $24.55 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $169.82 Typical High $501.19 | Facility | None | $58.88 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $25.12 | $33.11 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $9.12 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $16.98 | $23.44 | $43.65 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $36.31 Typical High $56.23 | Professional | None | $0.23 | $36.31 | $56.23 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.08 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $0.08 | $9.55 | $13.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.14 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $0.14 | $26.30 | $42.66 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $4,265.80 | Facility | None | $34.67 | $34.67 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $23.99 | $33.88 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $6.31 | $8.71 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $15.49 | $25.12 | $34.67 |
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 $17.38 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $27.54 | $30.20 |
Where Nevada sits
The same service costs 12.9 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· 41st of 51
$33.88
VT $347FL $26.92
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.