How much rates vary
Facilitymedian $76 · 10th to 90th $48 to $1,047Professionalmedian $62 · 10th to 90th $51 to $100
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 $61.66 Median $61.66 Typical High $67.61 | Facility | None | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $70.79 | Professional | None (both parts) | $57.54 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $23.99 | $25.12 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $36.31 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $75.86 | Facility | None | $47.86 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $57.54 | $57.54 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $23.44 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $33.88 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $1,047.13 Typical High $2,951.21 | Facility | None | $79.43 | $1,047.13 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $51.29 | $64.57 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $26.92 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $30.20 | $38.02 | $61.66 |
Hometown Health Setting Professional Modifier None Typical Low $0.58 Median $67.61 Typical High $95.50 | Professional | None | $0.58 | $67.61 | $95.50 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.28 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $0.28 | $27.54 | $39.81 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.28 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $0.28 | $39.81 | $56.23 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $4,265.80 | Facility | None | $58.88 | $58.88 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $48.98 | $63.10 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $26.92 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $29.51 | $33.88 | $54.95 |
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 $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | FX · Film X-ray | $48.98 | $48.98 | $53.70 |
Where Nevada sits
The same service costs 3.8 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
$61.66
AK $178TX $46.77
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.