How much rates vary
Facilitymedian $107 · 10th to 90th $66 to $282Professionalmedian $85 · 10th to 90th $68 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 $83.18 Median $91.20 Typical High $281.84 | Facility | None | $83.18 | $91.20 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $31.62 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $51.29 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $64.57 | $85.11 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $24.55 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $107.15 | Facility | None | $66.07 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $177.83 | Professional | None (both parts) | $77.62 | $77.62 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $29.51 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | TC · Technical part | $47.86 | $47.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $676.08 | Facility | None | $114.82 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $77.62 | $104.71 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $35.48 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $66.07 | $91.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $93.33 Typical High $131.83 | Professional | None | $0.71 | $93.33 | $131.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $0.32 | $33.11 | $50.12 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.39 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $0.39 | $58.88 | $87.10 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $4,265.80 | Facility | None | $81.28 | $81.28 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $51.29 | $51.29 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $56.23 | $85.11 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $33.11 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $45.71 | $52.48 | $81.28 |
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 $41.69 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | FX · Film X-ray | $66.07 | $66.07 | $72.44 |
Where Nevada sits
The same service costs 3.6 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· 41st of 51
$85.11
AK $245TX $67.61
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.