How much rates vary
Facilitymedian $145 · 10th to 90th $91 to $282Professionalmedian $112 · 10th to 90th $83 to $186
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 $112.20 Median $123.03 Typical High $295.12 | Facility | None | $112.20 | $123.03 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $102.33 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $41.69 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $69.18 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $89.13 | $89.13 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $144.54 | Facility | None | $91.20 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $245.47 | Professional | None (both parts) | $104.71 | $104.71 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $38.02 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $66.07 | $66.07 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $676.08 | Facility | None | $158.49 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $87.10 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $42.66 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $69.18 | $123.03 |
Hometown Health Setting Professional Modifier None Typical Low $0.59 Median $117.49 Typical High $181.97 | Professional | None | $0.59 | $117.49 | $181.97 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.30 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $0.30 | $44.67 | $66.07 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.28 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $0.28 | $72.44 | $114.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $4,265.80 | Facility | None | $112.20 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $67.61 | $67.61 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $77.62 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $72.44 | $104.71 |
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 $54.95 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $89.13 | $97.72 |
Where Nevada sits
The same service costs 4.6 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· 38th of 51
$112
AK $331UT $72.44
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.