How much rates vary
Facilitymedian $186 · 10th to 90th $117 to $10,233Professionalmedian $170 · 10th to 90th $132 to $437
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 $141.25 Median $141.25 Typical High $158.49 | Facility | None | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $141.25 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $89.13 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $186.21 Typical High $186.21 | Facility | None | $117.49 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $131.83 | $131.83 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $48.98 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $85.11 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $10,232.93 Typical High $29,512.09 | Facility | None | $208.93 | $10,232.93 | $29,512.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $147.91 | $213.80 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $56.23 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $436.52 | Professional | TC · Technical part | $102.33 | $141.25 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $169.82 Typical High $245.47 | Professional | None | $1.82 | $169.82 | $245.47 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $0.45 | $57.54 | $81.28 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.35 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $1.35 | $117.49 | $162.18 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $4,265.80 | Facility | None | $141.25 | $141.25 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $141.25 | $199.53 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $54.95 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $346.74 | Professional | TC · Technical part | $89.13 | $109.65 | $346.74 |
4 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 $70.79 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $28.18 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | FX · Film X-ray | $114.82 | $114.82 | $125.89 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | XU · Unusual separate service | $112.20 | $112.20 | $114.82 |
Where Nevada sits
The same service costs 4.2 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· 42nd of 51
$170
AK $437UT $105
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.