How much rates vary
Facilitymedian $51 · 10th to 90th $32 to $204Professionalmedian $39 · 10th to 90th $31 to $62
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 $38.90 Median $38.90 Typical High $43.65 | Facility | None | $38.90 | $38.90 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $38.90 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $9.77 | Professional | 26 · Professional part | $8.91 | $8.91 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $29.51 | $30.20 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $51.29 | Facility | None | $31.62 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $37.15 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $8.32 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $28.84 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $676.08 | Facility | None | $66.07 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $28.18 | $38.02 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $9.33 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $28.84 | $50.12 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $40.74 Typical High $63.10 | Professional | None | $0.25 | $40.74 | $63.10 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $0.09 | $9.55 | $14.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.16 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $0.16 | $31.62 | $48.98 |
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 $38.90 Median $38.90 Typical High $4,265.80 | Facility | None | $38.90 | $38.90 | $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 $26.92 Median $38.02 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.02 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $6.61 | $9.33 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $27.54 | $41.69 |
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 $19.50 Median $19.50 Typical High $21.88 | Professional | 52 · Reduced service | $19.50 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $31.62 | $34.67 |
Where Nevada sits
The same service costs 3.9 times more in Alaska 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· 39th of 51
$38.90
AK $112FL $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.