How much rates vary
Facilitymedian $71 · 10th to 90th $45 to $170Professionalmedian $54 · 10th to 90th $41 to $89
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 $53.70 Median $53.70 Typical High $58.88 | Facility | None | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $48.98 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $10.96 | $11.48 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $37.15 | $42.66 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 26 · Professional part | $8.71 | $8.71 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $70.79 | Facility | None | $44.67 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $45.71 | $51.29 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $24.55 | Professional | 26 · Professional part | $10.72 | $10.72 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $501.19 | Facility | None | $93.33 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $38.02 | $51.29 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $12.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $27.54 | $39.81 | $70.79 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $56.23 Typical High $87.10 | Professional | None | $0.36 | $56.23 | $87.10 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.13 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $0.13 | $12.88 | $18.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.23 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $0.23 | $43.65 | $69.18 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $4,265.80 | Facility | None | $53.70 | $53.70 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $75.86 | Professional | None (both parts) | $37.15 | $52.48 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $12.59 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $39.81 | $58.88 |
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 $26.92 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $26.92 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $10.72 | $10.72 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | FX · Film X-ray | $43.65 | $43.65 | $47.86 |
Where Nevada sits
The same service costs 4.5 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
$53.70
AK $148UT $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.