How much rates vary
Facilitymedian $58 · 10th to 90th $36 to $240Professionalmedian $45 · 10th to 90th $38 to $74
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 $44.67 Median $50.12 Typical High $239.88 | Facility | None | $44.67 | $50.12 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $42.66 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $12.02 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $31.62 | $33.11 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $30.20 | $56.23 | $56.23 |
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 $75.86 | Professional | None (both parts) | $42.66 | $42.66 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $11.22 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $30.90 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $676.08 | Facility | None | $74.13 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $38.02 | $47.86 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $8.71 | $12.30 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $35.48 | $57.54 |
Hometown Health Setting Professional Modifier None Typical Low $0.38 Median $50.12 Typical High $72.44 | Professional | None | $0.38 | $50.12 | $72.44 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.11 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $0.11 | $11.75 | $18.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.27 Median $38.02 Typical High $54.95 | Professional | TC · Technical part | $0.27 | $38.02 | $54.95 |
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 $35.48 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $35.48 | $45.71 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $12.59 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $26.92 | $30.90 | $50.12 |
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 $24.55 | Professional | 52 · Reduced service | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.00 | Professional | 53 · Discontinued | $8.91 | $8.91 | $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 3.9 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· 43rd of 51
$44.67
AK $129UT $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.