How much rates vary
Facilitymedian $295 · 10th to 90th $186 to $1,660Professionalmedian $355 · 10th to 90th $229 to $631
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 $371.54 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $371.54 | $407.38 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $117.49 | $147.91 |
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 $181.97 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $181.97 | $288.40 | $346.74 |
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 $707.95 | Professional | None (both parts) | $229.09 | $229.09 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $66.07 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $165.96 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $645.65 | Facility | None | $138.04 | $371.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $257.04 | $407.38 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $72.44 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $346.74 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $323.59 Typical High $457.09 | Professional | None | $4.90 | $323.59 | $457.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $79.43 | $117.49 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $4.07 | $251.19 | $426.58 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $4,265.80 | Facility | None | $229.09 | $229.09 | $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 $229.09 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $229.09 | $346.74 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $257.04 | $524.81 |
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 $204.17 Typical High $316.23 | Professional | 52 · Reduced service | $199.53 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $128.82 | Professional | 53 · Discontinued | $79.43 | $81.28 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $512.86 | Professional | FX · Film X-ray | $323.59 | $323.59 | $512.86 |
Where Nevada sits
The same service costs 6.0 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· 38th of 51
$355
WY $912UT $151
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.