How much rates vary
Facilitymedian $79 · 10th to 90th $50 to $219Professionalmedian $74 · 10th to 90th $55 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 $58.88 Median $64.57 Typical High $239.88 | Facility | None | $58.88 | $64.57 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $58.88 | $58.88 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $28.18 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $85.11 | Professional | TC · Technical part | $30.90 | $30.90 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $48.98 | $60.26 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $79.43 | Facility | None | $50.12 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | None (both parts) | $54.95 | $54.95 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $26.30 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $28.84 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $204.17 Typical High $676.08 | Facility | None | $74.13 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $60.26 | $93.33 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $32.36 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $66.07 | $83.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.69 Median $87.10 Typical High $123.03 | Professional | None | $0.69 | $87.10 | $123.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $0.32 | $28.84 | $43.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.38 Median $52.48 Typical High $93.33 | Professional | TC · Technical part | $0.38 | $52.48 | $93.33 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $4,265.80 | Facility | None | $60.26 | $60.26 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $60.26 | $77.62 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $29.51 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $37.15 | $83.18 |
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 $29.51 Median $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | FX · Film X-ray | $46.77 | $46.77 | $51.29 |
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· 36th of 51
$74.13
AK $182TX $47.86
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.