How much rates vary
Facilitymedian $110 · 10th to 90th $76 to $123Professionalmedian $98 · 10th to 90th $85 to $126
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 $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $60.26 | $60.26 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $123.03 | Facility | None | $75.86 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $93.33 | $93.33 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $35.48 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $57.54 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $95.50 | $97.72 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $31.62 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $67.61 | $91.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.87 Median $102.33 Typical High $141.25 | Professional | None | $0.87 | $102.33 | $141.25 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $0.36 | $33.11 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.52 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $0.52 | $67.61 | $93.33 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $4,265.80 | Facility | None | $93.33 | $93.33 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $144.54 | Professional | None (both parts) | $58.88 | $85.11 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $85.11 | $100.00 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $35.48 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $64.57 | $79.43 |
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 $48.98 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $79.43 | $87.10 |
Where Nevada sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 40th of 51
$97.72
AK $295TX $66.07
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.