How much rates vary
Facilitymedian $126 · 10th to 90th $79 to $676Professionalmedian $110 · 10th to 90th $87 to $178
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 $114.82 Median $114.82 Typical High $125.89 | Facility | None | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $93.33 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $24.55 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $72.44 | $87.10 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $125.89 | Facility | None | $79.43 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $107.15 | $107.15 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $26.30 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $83.18 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $676.08 Typical High $2,290.87 | Facility | None | $165.96 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $87.10 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $28.84 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $81.28 | $138.04 |
Hometown Health Setting Professional Modifier None Typical Low $0.85 Median $109.65 Typical High $162.18 | Professional | None | $0.85 | $109.65 | $162.18 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $0.32 | $28.84 | $41.69 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.54 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $0.54 | $81.28 | $120.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $4,265.80 | Facility | None | $95.50 | $95.50 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $79.43 | $112.20 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $30.20 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $56.23 | $85.11 | $123.03 |
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 $52.48 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $85.11 | $91.20 | $102.33 |
Where Nevada sits
The same service costs 4.2 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· 33rd of 51
$115
AK $309UT $74.13
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.