How much rates vary
Facilitymedian $148 · 10th to 90th $93 to $6,026Professionalmedian $138 · 10th to 90th $107 to $347
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 $114.82 Median $114.82 Typical High $128.82 | Facility | None | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $114.82 | $114.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $61.66 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $147.91 | Facility | None | $93.33 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $281.84 | Professional | None (both parts) | $107.15 | $107.15 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $48.98 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $58.88 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $6,025.60 Typical High $17,782.79 | Facility | None | $138.04 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $123.03 | $173.78 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $426.58 | Professional | TC · Technical part | $67.61 | $107.15 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $1.35 Median $141.25 Typical High $199.53 | Professional | None | $1.35 | $141.25 | $199.53 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $0.36 | $58.88 | $83.18 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $1.00 | $83.18 | $112.20 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $4,265.80 | Facility | None | $112.20 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $457.09 | Professional | None (both parts) | $112.20 | $162.18 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $56.23 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $331.13 | Professional | TC · Technical part | $60.26 | $79.43 | $331.13 |
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 $57.54 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $93.33 | $102.33 |
Where Nevada sits
The same service costs 4.8 times more in Kansas 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· 39th of 51
$138
KS $363UT $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.