How much rates vary
Facilitymedian $117 · 10th to 90th $74 to $617Professionalmedian $93 · 10th to 90th $66 to $151
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 $100.00 Median $109.65 Typical High $660.69 | Facility | None | $100.00 | $109.65 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $81.28 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $17.38 | $18.62 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $81.28 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $72.44 | $117.49 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $117.49 | Facility | None | $74.13 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $93.33 | $93.33 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $37.15 | Professional | 26 · Professional part | $16.98 | $16.98 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $75.86 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $1,412.54 | Facility | None | $169.82 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $58.88 | $87.10 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $31.62 | Professional | 26 · Professional part | $15.14 | $19.50 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $42.66 | $64.57 | $128.82 |
Hometown Health Setting Professional Modifier None Typical Low $0.54 Median $91.20 Typical High $147.91 | Professional | None | $0.54 | $91.20 | $147.91 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $19.50 Typical High $28.84 | Professional | 26 · Professional part | $0.18 | $19.50 | $28.84 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.36 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $0.36 | $72.44 | $117.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $4,265.80 | Facility | None | $89.13 | $89.13 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $60.26 | $89.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $19.50 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $72.44 | $97.72 |
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 $46.77 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $74.13 | $79.43 | $87.10 |
Where Nevada sits
The same service costs 4.0 times more in Alaska 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· 36th of 51
$93.33
AK $263UT $66.07
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.