How much rates vary
Facilitymedian $158 · 10th to 90th $100 to $204Professionalmedian $120 · 10th to 90th $98 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 $114.82 Median $128.82 Typical High $269.15 | Facility | None | $114.82 | $128.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $114.82 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $50.12 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $64.57 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $97.72 | $97.72 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $158.49 | Facility | None | $100.00 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $109.65 | $109.65 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $46.77 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $61.66 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $676.08 | Facility | None | $154.88 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $104.71 | $128.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $53.70 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $74.13 | $120.23 |
Hometown Health Setting Professional Modifier None Typical Low $0.85 Median $134.90 Typical High $199.53 | Professional | None | $0.85 | $134.90 | $199.53 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.41 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $0.41 | $54.95 | $81.28 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.44 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $0.44 | $79.43 | $117.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $4,265.80 | Facility | None | $120.23 | $120.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $69.18 | $74.13 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $91.20 | $128.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $53.70 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $52.48 | $66.07 | $100.00 |
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 $57.54 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $93.33 | $102.33 |
Where Nevada sits
The same service costs 3.9 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
$120
AK $363TX $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.