How much rates vary
Facilitymedian $55 · 10th to 90th $34 to $676Professionalmedian $45 · 10th to 90th $38 to $76
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 $40.74 Median $40.74 Typical High $44.67 | Facility | None | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $40.74 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $14.45 | $14.79 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $25.70 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $54.95 | Facility | None | $33.88 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $79.43 | Professional | None (both parts) | $38.02 | $38.02 | $79.43 |
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 $24.55 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $24.55 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $676.08 Typical High $2,290.87 | Facility | None | $58.88 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $41.69 | $48.98 | $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 $26.30 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $34.67 | $63.10 |
Hometown Health Setting Professional Modifier None Typical Low $0.45 Median $45.71 Typical High $70.79 | Professional | None | $0.45 | $45.71 | $70.79 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $0.18 | $15.85 | $24.55 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.27 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $0.27 | $29.51 | $44.67 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $4,265.80 | Facility | None | $41.69 | $41.69 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $75.86 | Professional | None (both parts) | $40.74 | $53.70 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $16.22 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $29.51 | $56.23 |
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 $20.42 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $20.42 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | 53 · Discontinued | $8.13 | $8.13 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | FX · Film X-ray | $32.36 | $32.36 | $36.31 |
Where Nevada sits
The same service costs 3.8 times more in Alaska than in New York. 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· 44th of 51
$44.67
AK $115NY $30.20
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.