How much rates vary
Facilitymedian $148 · 10th to 90th $93 to $282Professionalmedian $123 · 10th to 90th $100 to $195
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 $120.23 Median $131.83 Typical High $676.08 | Facility | None | $120.23 | $131.83 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $120.23 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $38.90 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $79.43 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $83.18 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $56.23 | $57.54 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $147.91 | Facility | None | $93.33 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $257.04 | Professional | None (both parts) | $112.20 | $112.20 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $36.31 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $75.86 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $204.17 Typical High $676.08 | Facility | None | $177.83 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $112.20 | $141.25 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $44.67 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $91.20 | $141.25 |
Hometown Health Setting Professional Modifier None Typical Low $0.93 Median $131.83 Typical High $194.98 | Professional | None | $0.93 | $131.83 | $194.98 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.43 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $0.43 | $39.81 | $60.26 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.50 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $0.50 | $89.13 | $134.90 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $4,265.80 | Facility | None | $114.82 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $69.18 | $72.44 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $100.00 | $128.82 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $83.18 | $134.90 |
4 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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $95.50 | $104.71 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | XU · Unusual separate service | $91.20 | $91.20 | $173.78 |
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
$126
AK $355TX $93.33
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.