How much rates vary
Facilitymedian $295 · 10th to 90th $186 to $1,660Professionalmedian $347 · 10th to 90th $224 to $603
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 $630.96 Median $1,318.26 Typical High $1,905.46 | Facility | None | $630.96 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $354.81 | $398.11 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $288.40 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $223.87 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $295.12 | Facility | None | $186.21 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $575.44 | Professional | None (both parts) | $229.09 | $229.09 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $60.26 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $165.96 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $380.19 Typical High $645.65 | Facility | None | $138.04 | $380.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $257.04 | $389.05 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $338.84 | $512.86 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $331.13 Typical High $446.68 | Professional | None | $4.90 | $331.13 | $446.68 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $75.86 | $109.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $4.07 | $257.04 | $426.58 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.90 Median $4.90 Typical High $338.84 | Professional | None (both parts) | $4.90 | $4.90 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $4,265.80 | Facility | None | $223.87 | $223.87 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $223.87 | $346.74 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $245.47 | $512.86 |
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 $199.53 Median $199.53 Typical High $316.23 | Professional | 52 · Reduced service | $199.53 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | 53 · Discontinued | $79.43 | $79.43 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $512.86 | Professional | FX · Film X-ray | $316.23 | $316.23 | $512.86 |
Where Nevada sits
The same service costs 5.8 times more in Wyoming 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· 39th of 51
$347
WY $912UT $158
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.