How much rates vary
Facilitymedian $112 · 10th to 90th $71 to $204Professionalmedian $85 · 10th to 90th $58 to $138
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 $83.18 Median $83.18 Typical High $91.20 | Facility | None | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | None (both parts) | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $60.26 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $112.20 | Facility | None | $70.79 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | None (both parts) | $77.62 | $77.62 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $21.38 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $56.23 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $676.08 | Facility | None | $131.83 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $45.71 | $89.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $23.99 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $69.18 Typical High $109.65 | Professional | TC · Technical part | $25.70 | $69.18 | $109.65 |
Hometown Health Setting Professional Modifier None Typical Low $0.63 Median $97.72 Typical High $144.54 | Professional | None | $0.63 | $97.72 | $144.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $0.18 | $25.12 | $38.02 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.45 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $0.45 | $74.13 | $104.71 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $4,265.80 | Facility | None | $85.11 | $85.11 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $53.70 | $85.11 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $16.60 | $23.99 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $69.18 | $104.71 |
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 $41.69 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | FX · Film X-ray | $66.07 | $66.07 | $74.13 |
Where Nevada sits
The same service costs 3.8 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· 38th of 51
$85.11
AK $245UT $64.57
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.