How much rates vary
Facilitymedian $138 · 10th to 90th $41 to $4,266Professionalmedian $138 · 10th to 90th $105 to $174
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $138.04 Median $138.04 Typical High $151.36 | Facility | None | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | TC · Technical part | $100.00 | $100.00 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $125.89 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $34.67 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $117.49 | $123.03 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $33.11 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $91.20 | $138.04 |
Hometown Health Setting Professional Modifier None Typical Low $1.07 Median $33.11 Typical High $46.77 | Professional | None | $1.07 | $33.11 | $46.77 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.39 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $0.39 | $36.31 | $52.48 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.68 Median $4.37 Typical High $6.03 | Professional | TC · Technical part | $0.68 | $4.37 | $6.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $4,265.80 | Facility | None | $40.74 | $40.74 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $34.67 | $40.74 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $104.71 | $147.91 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $38.90 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $114.82 | $125.89 |
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 $67.61 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $109.65 | $120.23 |
Where Nevada sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 36th of 51
$138
AK $389DC $87.10
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.