How much rates vary
Facilitymedian $100 · 10th to 90th $63 to $204Professionalmedian $89 · 10th to 90th $71 to $135
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 $75.86 Median $75.86 Typical High $83.18 | Facility | None | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $43.65 | $43.65 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $100.00 | Facility | None | $63.10 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $181.97 | Professional | None (both parts) | $70.79 | $70.79 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $29.51 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $125.89 | Professional | TC · Technical part | $41.69 | $41.69 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $676.08 | Facility | None | $97.72 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $77.62 | $102.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $66.07 | $87.10 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $89.13 Typical High $131.83 | Professional | None | $0.76 | $89.13 | $131.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.34 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $0.34 | $35.48 | $52.48 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $0.41 | $57.54 | $79.43 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $4,265.80 | Facility | None | $75.86 | $75.86 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $67.61 | $97.72 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $37.15 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $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 $38.02 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $15.14 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | FX · Film X-ray | $60.26 | $60.26 | $66.07 |
Where Nevada sits
The same service costs 3.7 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· 38th of 51
$89.13
AK $229TX $61.66
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.