How much rates vary
Facilitymedian $138 · 10th to 90th $87 to $457Professionalmedian $102 · 10th to 90th $72 to $170
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 $107.15 Median $107.15 Typical High $117.49 | Facility | None | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $91.20 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $15.14 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $91.20 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $138.04 | Facility | None | $87.10 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $100.00 | $100.00 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | 26 · Professional part | $14.13 | $14.13 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $1,412.54 | Facility | None | $199.53 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $66.07 | $97.72 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $13.18 | $16.98 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $79.43 | $147.91 |
Hometown Health Setting Professional Modifier None Typical Low $0.62 Median $104.71 Typical High $169.82 | Professional | None | $0.62 | $104.71 | $169.82 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.20 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $0.20 | $16.60 | $25.70 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $0.41 | $89.13 | $144.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $69.18 | $100.00 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $16.60 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $83.18 | $112.20 |
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 $52.48 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $52.48 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $21.38 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $85.11 Typical High $95.50 | Professional | FX · Film X-ray | $83.18 | $85.11 | $95.50 |
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· 36th of 51
$105
AK $288NY $75.86
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.