How much rates vary
Facilitymedian $43 · 10th to 90th $27 to $174Professionalmedian $32 · 10th to 90th $25 to $54
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 $33.11 Median $36.31 Typical High $173.78 | Facility | None | $33.11 | $36.31 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $28.84 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $8.91 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $42.66 | Facility | None | $26.92 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $30.90 | $30.90 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $8.32 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $39.81 | Professional | TC · Technical part | $22.39 | $22.39 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $169.82 Typical High $501.19 | Facility | None | $54.95 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $21.38 | $31.62 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $9.12 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $13.80 | $21.88 | $40.74 |
Hometown Health Setting Professional Modifier None Typical Low $0.28 Median $34.67 Typical High $53.70 | Professional | None | $0.28 | $34.67 | $53.70 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.10 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $0.10 | $9.12 | $14.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.18 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $0.18 | $25.12 | $38.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $4,265.80 | Facility | None | $32.36 | $32.36 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $21.38 | $31.62 | $52.48 |
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 $14.13 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $14.13 | $22.91 | $31.62 |
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 $16.60 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $6.61 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | FX · Film X-ray | $26.30 | $26.30 | $28.84 |
Where Nevada sits
The same service costs 4.1 times more in Alaska than in New York. 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
$32.36
AK $95.50NY $23.44
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.