How much rates vary
Facilitymedian $240 · 10th to 90th $151 to $6,026Professionalmedian $182 · 10th to 90th $151 to $372
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 $162.18 Median $162.18 Typical High $181.97 | Facility | None | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $102.33 | $102.33 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $239.88 | Facility | None | $151.36 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $151.36 | $151.36 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $54.95 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $97.72 | $97.72 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $6,025.60 Typical High $17,782.79 | Facility | None | $218.78 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $154.88 | $218.78 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $61.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $107.15 | $158.49 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $1.35 Median $181.97 Typical High $295.12 | Professional | None | $1.35 | $181.97 | $295.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $0.36 | $61.66 | $100.00 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $1.00 | $120.23 | $199.53 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $4,265.80 | Facility | None | $181.97 | $181.97 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $158.49 | $218.78 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $64.57 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $120.23 | $338.84 |
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 $81.28 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $33.11 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | FX · Film X-ray | $131.83 | $131.83 | $144.54 |
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· 41st of 51
$186
AK $468UT $123
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.