How much rates vary
Facilitymedian $63 · 10th to 90th $40 to $204Professionalmedian $62 · 10th to 90th $45 to $117
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 $37.15 Median $52.48 Typical High $120.23 | Facility | None | $37.15 | $52.48 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $47.86 | $47.86 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $17.38 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $38.90 | $38.90 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $63.10 | Facility | None | $39.81 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $177.83 | Professional | None (both parts) | $44.67 | $44.67 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $102.33 | Professional | 26 · Professional part | $28.18 | $28.18 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $75.86 | Professional | TC · Technical part | $16.60 | $16.60 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $204.17 Typical High $676.08 | Facility | None | $40.74 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $52.48 | $81.28 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $42.66 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $19.95 | $34.67 | $72.44 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $74.13 Typical High $104.71 | Professional | None | $0.76 | $74.13 | $104.71 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.34 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $0.34 | $41.69 | $57.54 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $0.41 | $28.18 | $46.77 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $4,265.80 | Facility | None | $48.98 | $48.98 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $48.98 | $67.61 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $17.78 | $29.51 | $53.70 |
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 $23.99 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | FX · Film X-ray | $38.02 | $38.02 | $41.69 |
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 $151TX $39.81
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.