How much rates vary
Facilitymedian $65 · 10th to 90th $41 to $204Professionalmedian $50 · 10th to 90th $41 to $85
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 $50.12 Median $54.95 Typical High $239.88 | Facility | None | $50.12 | $54.95 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $47.86 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $34.67 | $53.70 |
Ambetter 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $64.57 | Facility | None | $40.74 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $46.77 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $14.13 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $33.11 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $676.08 | Facility | None | $79.43 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $38.02 | $51.29 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $16.22 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $34.67 | $58.88 |
Hometown Health Setting Professional Modifier None Typical Low $0.41 Median $54.95 Typical High $81.28 | Professional | None | $0.41 | $54.95 | $81.28 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.17 Median $16.60 Typical High $24.55 | Professional | 26 · Professional part | $0.17 | $16.60 | $24.55 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.23 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $0.23 | $38.90 | $56.23 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $4,265.80 | Facility | None | $48.98 | $48.98 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $37.15 | $48.98 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $16.22 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $33.11 | $48.98 |
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 $25.12 Median $25.12 Typical High $27.54 | Professional | 52 · Reduced service | $25.12 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $10.00 | $10.00 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | FX · Film X-ray | $39.81 | $39.81 | $44.67 |
Where Nevada sits
The same service costs 4.5 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· 39th of 51
$50.12
AK $148UT $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.