How much rates vary
Facilitymedian $91 · 10th to 90th $58 to $204Professionalmedian $74 · 10th to 90th $56 to $132
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 $70.79 Median $70.79 Typical High $79.43 | Facility | None | $70.79 | $70.79 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $66.07 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $26.30 | $27.54 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $43.65 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $91.20 | Facility | None | $57.54 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $158.49 | Professional | None (both parts) | $67.61 | $67.61 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $25.70 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $41.69 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $204.17 Typical High $676.08 | Facility | None | $95.50 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $53.70 | $93.33 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $32.36 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $60.26 | $81.28 |
Hometown Health Setting Professional Modifier None Typical Low $0.85 Median $69.18 Typical High $112.20 | Professional | None | $0.85 | $69.18 | $112.20 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.38 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $0.38 | $28.84 | $44.67 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.48 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $0.48 | $38.90 | $67.61 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $4,265.80 | Facility | None | $69.18 | $69.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $61.66 | $89.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $29.51 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $40.74 | $45.71 | $72.44 |
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 $35.48 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | FX · Film X-ray | $57.54 | $57.54 | $63.10 |
Where Nevada sits
The same service costs 4.4 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
$74.13
AK $214UT $48.98
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.