How much rates vary
Facilitymedian $158 · 10th to 90th $100 to $339Professionalmedian $123 · 10th to 90th $93 to $204
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 $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $112.20 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $89.13 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $32.36 | Professional | 26 · Professional part | $28.84 | $30.20 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $158.49 | Facility | None | $100.00 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $120.23 | $120.23 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $35.48 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $83.18 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $1,096.48 | Facility | None | $190.55 | $338.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $77.62 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $38.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $81.28 | $147.91 |
Hometown Health Setting Professional Modifier None Typical Low $0.74 Median $128.82 Typical High $199.53 | Professional | None | $0.74 | $128.82 | $199.53 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $0.36 | $38.02 | $61.66 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.38 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $0.38 | $93.33 | $138.04 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $83.18 | $123.03 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $81.28 | $117.49 |
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 $63.10 Median $63.10 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $25.70 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $102.33 Typical High $112.20 | Professional | FX · Film X-ray | $100.00 | $102.33 | $112.20 |
Where Nevada sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$123
AK $363FL $97.72
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.