How much rates vary
Facilitymedian $48 · 10th to 90th $30 to $204Professionalmedian $38 · 10th to 90th $32 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 $38.02 Median $64.57 Typical High $204.17 | Facility | None | $38.02 | $64.57 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | 26 · Professional part | $8.13 | $8.13 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $30.20 | $30.20 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Facility | None | $30.20 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $35.48 | $35.48 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $7.59 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $28.18 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $169.82 Typical High $501.19 | Facility | None | $66.07 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $29.51 | $38.02 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.71 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $29.51 | $51.29 |
Hometown Health Setting Professional Modifier None Typical Low $0.27 Median $42.66 Typical High $61.66 | Professional | None | $0.27 | $42.66 | $61.66 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $0.09 | $9.33 | $13.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.18 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $0.18 | $33.11 | $48.98 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $4,265.80 | Facility | None | $36.31 | $36.31 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $28.18 | $36.31 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $8.71 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $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 $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | FX · Film X-ray | $30.90 | $30.90 | $33.88 |
Where Nevada sits
The same service costs 3.7 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
$38.02
AK $110FL $29.51
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.