How much rates vary
Facilitymedian $58 · 10th to 90th $36 to $204Professionalmedian $46 · 10th to 90th $41 to $78
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 $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $45.71 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $13.49 | $13.49 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $31.62 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $57.54 | Facility | None | $36.31 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $87.10 | Professional | None (both parts) | $42.66 | $42.66 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $33.88 | Professional | 26 · Professional part | $12.59 | $12.59 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $29.51 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $204.17 Typical High $676.08 | Facility | None | $70.79 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $40.74 | $48.98 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $13.49 | $16.22 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $53.70 | Professional | TC · Technical part | $26.92 | $33.11 | $53.70 |
Hometown Health Setting Professional Modifier None Typical Low $0.45 Median $50.12 Typical High $74.13 | Professional | None | $0.45 | $50.12 | $74.13 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $0.18 | $15.49 | $21.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.27 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $0.27 | $35.48 | $50.12 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $4,265.80 | Facility | None | $43.65 | $43.65 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $37.15 | $48.98 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $14.79 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $25.12 | $30.20 | $46.77 |
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 $22.39 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | FX · Film X-ray | $36.31 | $36.31 | $39.81 |
Where Nevada sits
The same service costs 4.0 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· 45th of 51
$45.71
AK $132UT $33.11
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.