How much rates vary
Facilitymedian $269 · 10th to 90th $170 to $1,660Professionalmedian $324 · 10th to 90th $200 to $550
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 $537.03 Median $1,318.26 Typical High $1,905.46 | Facility | None | $537.03 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $323.59 | $354.81 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $109.65 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $223.87 | $245.47 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $138.04 | $162.18 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $269.15 | Facility | None | $169.82 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $199.53 | $199.53 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $61.66 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $141.25 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $323.59 Typical High $645.65 | Facility | None | $138.04 | $323.59 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $229.09 | $389.05 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $66.07 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $338.84 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $257.04 Typical High $371.54 | Professional | None | $4.90 | $257.04 | $371.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $74.13 | $109.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $4.07 | $181.97 | $275.42 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.90 Median $4.90 Typical High $309.03 | Professional | None (both parts) | $4.90 | $4.90 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $4,265.80 | Facility | None | $204.17 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $199.53 | $295.12 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $512.86 | Professional | TC · Technical part | $138.04 | $173.78 | $512.86 |
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 $177.83 Median $177.83 Typical High $316.23 | Professional | 52 · Reduced service | $177.83 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $128.82 | Professional | 53 · Discontinued | $70.79 | $70.79 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | FX · Film X-ray | $281.84 | $281.84 | $512.86 |
Where Nevada sits
The same service costs 13.5 times more in Vermont than in Utah. 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· 36th of 51
$316
VT $2,089UT $155
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.