How much rates vary
Facilitymedian $56 · 10th to 90th $35 to $240Professionalmedian $43 · 10th to 90th $35 to $71
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 $42.66 Median $46.77 Typical High $239.88 | Facility | None | $42.66 | $46.77 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $42.66 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $12.30 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $30.20 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $56.23 | Facility | None | $35.48 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $39.81 | $39.81 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $11.48 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $28.84 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $204.17 Typical High $676.08 | Facility | None | $67.61 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $30.90 | $42.66 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $12.30 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $30.20 | $51.29 |
Hometown Health Setting Professional Modifier None Typical Low $0.32 Median $50.12 Typical High $70.79 | Professional | None | $0.32 | $50.12 | $70.79 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.12 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $0.12 | $12.88 | $19.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.21 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $0.21 | $35.48 | $52.48 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $30.90 | $42.66 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.88 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $12.88 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $28.18 | $42.66 |
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 $21.38 Median $21.38 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $8.51 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | FX · Film X-ray | $33.88 | $33.88 | $37.15 |
Where Nevada sits
The same service costs 3.7 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
$42.66
AK $123UT $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.