How much rates vary
Facilitymedian $98 · 10th to 90th $72 to $115Professionalmedian $95 · 10th to 90th $83 to $182
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 $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $46.77 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $41.69 | $41.69 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $114.82 | Facility | None | $72.44 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $199.53 | Professional | None (both parts) | $83.18 | $83.18 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $43.65 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $39.81 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $316.23 | Professional | None (both parts) | $83.18 | $114.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $194.98 | Professional | TC · Technical part | $43.65 | $58.88 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $0.87 Median $102.33 Typical High $144.54 | Professional | None | $0.87 | $102.33 | $144.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.37 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $0.37 | $51.29 | $75.86 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.51 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $0.51 | $47.86 | $72.44 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $4,265.80 | Facility | None | $89.13 | $89.13 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $54.95 | $54.95 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $75.86 | $112.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $50.12 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $42.66 | $69.18 |
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 $44.67 Median $44.67 Typical High $48.98 | Professional | 52 · Reduced service | $44.67 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | FX · Film X-ray | $70.79 | $70.79 | $79.43 |
Where Nevada sits
The same service costs 4.2 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· 37th of 51
$95.50
AK $275TX $66.07
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.