How much rates vary
Facilitymedian $72 · 10th to 90th $46 to $275Professionalmedian $54 · 10th to 90th $43 to $87
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 $85.11 Typical High $275.42 | Facility | None | $53.70 | $85.11 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $51.29 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $13.49 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $40.74 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $37.15 | $46.77 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $72.44 Typical High $72.44 | Facility | None | $45.71 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | None (both parts) | $50.12 | $50.12 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $12.30 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $38.02 | $38.02 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $204.17 Typical High $676.08 | Facility | None | $91.20 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $42.66 | $53.70 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $15.14 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $38.90 | $69.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.43 Median $57.54 Typical High $89.13 | Professional | None | $0.43 | $57.54 | $89.13 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.15 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $0.15 | $15.49 | $21.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.28 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $0.28 | $41.69 | $67.61 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $4,265.80 | Facility | None | $54.95 | $54.95 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $54.95 Typical High $77.62 | Professional | None (both parts) | $40.74 | $54.95 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $14.13 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $37.15 | $54.95 |
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 $11.75 | Professional | 53 · Discontinued | $10.72 | $10.72 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | FX · Film X-ray | $42.66 | $42.66 | $47.86 |
Where Nevada sits
The same service costs 4.8 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· 40th of 51
$53.70
AK $158UT $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.