How much rates vary
Facilitymedian $398 · 10th to 90th $245 to $1,660Professionalmedian $479 · 10th to 90th $302 to $692
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 $1,548.82 Typical High $1,905.46 | Facility | None | $630.96 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $398.11 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $138.04 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $398.11 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $398.11 | Facility | None | $245.47 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $302.00 | $302.00 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $77.62 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $223.87 | $223.87 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $512.86 Typical High $954.99 | Facility | None | $199.53 | $512.86 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $338.84 | $489.78 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $602.56 | Professional | TC · Technical part | $251.19 | $426.58 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $436.52 Typical High $588.84 | Professional | None | $5.62 | $436.52 | $588.84 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $95.50 | $138.04 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $346.74 Typical High $489.78 | Professional | TC · Technical part | $4.47 | $346.74 | $489.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $446.68 | Professional | None (both parts) | $5.62 | $5.62 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $4,265.80 | Facility | None | $302.00 | $302.00 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $302.00 | $446.68 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $316.23 | $645.65 |
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 $239.88 Median $269.15 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $107.15 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $426.58 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $426.58 | $512.86 |
Where Nevada sits
The same service costs 5.6 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· 31st of 51
$479
WY $1,230UT $219
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.