How much rates vary
Facilitymedian $63 · 10th to 90th $39 to $204Professionalmedian $58 · 10th to 90th $44 to $95
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 $46.77 Median $46.77 Typical High $51.29 | Facility | None | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $24.55 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $63.10 | Facility | None | $38.90 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $151.36 | Professional | None (both parts) | $43.65 | $43.65 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $63.10 | Professional | 26 · Professional part | $20.42 | $20.42 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $91.20 | Professional | TC · Technical part | $22.91 | $22.91 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $204.17 Typical High $676.08 | Facility | None | $54.95 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $50.12 | $74.13 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $30.20 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $40.74 | $60.26 |
Hometown Health Setting Professional Modifier None Typical Low $0.62 Median $64.57 Typical High $91.20 | Professional | None | $0.62 | $64.57 | $91.20 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.28 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $0.28 | $26.92 | $38.90 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.32 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $0.32 | $38.90 | $56.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $4,265.80 | Facility | None | $47.86 | $47.86 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $47.86 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $23.44 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $30.90 | $51.29 |
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 $22.91 Median $22.91 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | FX · Film X-ray | $37.15 | $37.15 | $40.74 |
Where Nevada sits
The same service costs 4.5 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· 40th of 51
$57.54
AK $141UT $31.62
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.