How much rates vary
Facilitymedian $62 · 10th to 90th $39 to $204Professionalmedian $48 · 10th to 90th $37 to $79
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 $48.98 Median $48.98 Typical High $53.70 | Facility | None | $48.98 | $48.98 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $44.67 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $13.49 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $31.62 | $35.48 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $61.66 | Facility | None | $38.90 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $45.71 | $45.71 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $27.54 | Professional | 26 · Professional part | $12.59 | $12.59 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $33.11 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $204.17 Typical High $676.08 | Facility | None | $77.62 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $37.15 | $47.86 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $14.45 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $34.67 | $58.88 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $48.98 Typical High $75.86 | Professional | None | $0.36 | $48.98 | $75.86 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.13 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $0.13 | $14.45 | $21.38 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.23 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $0.23 | $35.48 | $54.95 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $4,265.80 | Facility | None | $46.77 | $46.77 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $36.31 | $46.77 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $14.45 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $33.11 | $48.98 |
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 $24.55 Median $24.55 Typical High $26.92 | Professional | 52 · Reduced service | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | FX · Film X-ray | $38.90 | $38.90 | $43.65 |
Where Nevada sits
The same service costs 4.1 times more in Alaska 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
$48.98
AK $132UT $32.36
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.