How much rates vary
Facilitymedian $138 · 10th to 90th $87 to $2,951Professionalmedian $112 · 10th to 90th $79 to $186
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 $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $112.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $61.66 | $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 $104.71 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $104.71 | $104.71 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $46.77 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $57.54 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $2,951.21 Typical High $8,709.64 | Facility | None | $131.83 | $2,951.21 | $8,709.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $61.66 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $41.69 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $30.90 | $79.43 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $0.72 Median $128.82 Typical High $181.97 | Professional | None | $0.72 | $128.82 | $181.97 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.21 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $0.21 | $42.66 | $75.86 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.51 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $0.51 | $81.28 | $109.65 |
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 $107.15 Median $107.15 Typical High $4,265.80 | Facility | None | $107.15 | $107.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $74.13 | $109.65 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $35.48 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $74.13 | $120.23 |
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 $56.23 Median $56.23 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $89.13 | $100.00 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | XU · Unusual separate service | $85.11 | $85.11 | $85.11 |
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· 37th of 51
$112
AK $316UT $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.