How much rates vary
Facilitymedian $10 · 10th to 90th $6 to $204Professionalmedian $8 · 10th to 90th $7 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 $7.24 Median $9.55 Typical High $30.90 | Facility | None | $7.24 | $9.55 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | None (both parts) | $7.24 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $2.82 Typical High $3.09 | Professional | 26 · Professional part | $2.75 | $2.82 | $3.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $4.47 Typical High $4.90 | Professional | TC · Technical part | $4.47 | $4.47 | $4.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None (both parts) | $6.03 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $9.77 Typical High $9.77 | Facility | None | $6.17 | $9.77 | $9.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.61 Median $6.61 Typical High $14.45 | Professional | None (both parts) | $6.61 | $6.61 | $14.45 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.51 Typical High $5.50 | Professional | 26 · Professional part | $2.51 | $2.51 | $5.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.07 Typical High $9.55 | Professional | TC · Technical part | $4.07 | $4.07 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $204.17 Typical High $676.08 | Facility | None | $10.47 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.59 Median $10.72 Typical High $47.86 | Professional | None (both parts) | $7.59 | $10.72 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.88 Typical High $4.68 | Professional | 26 · Professional part | $2.29 | $2.88 | $4.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $6.46 Typical High $44.67 | Professional | TC · Technical part | $4.57 | $6.46 | $44.67 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $7.94 Typical High $12.88 | Professional | None | $0.36 | $7.94 | $12.88 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.27 Median $2.95 Typical High $4.27 | Professional | 26 · Professional part | $0.27 | $2.95 | $4.27 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.09 Median $5.25 Typical High $8.32 | Professional | TC · Technical part | $0.09 | $5.25 | $8.32 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.36 Median $0.36 Typical High $11.48 | Professional | None (both parts) | $0.36 | $0.36 | $11.48 |
Select Health Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $4,265.80 | Facility | None | $7.59 | $7.59 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None (both parts) | $5.89 | $5.89 | $5.89 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.23 Typical High $43.65 | Professional | None (both parts) | $7.24 | $10.23 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $2.88 Typical High $4.37 | Professional | 26 · Professional part | $2.00 | $2.88 | $4.37 |
United Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $5.25 Typical High $21.38 | Professional | TC · Technical part | $4.27 | $5.25 | $21.38 |
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 $3.63 Median $3.63 Typical High $4.07 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.62 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.89 Median $5.89 Typical High $6.46 | Professional | FX · Film X-ray | $5.89 | $5.89 | $6.46 |
Where Nevada sits
The same service costs 4.2 times more in Kansas 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
$7.94
KS $23.99FL $5.75
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.