How much rates vary
Facilitymedian $129 · 10th to 90th $81 to $282Professionalmedian $107 · 10th to 90th $85 to $158
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 $102.33 Median $112.20 Typical High $407.38 | Facility | None | $102.33 | $112.20 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $29.51 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $72.44 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $70.79 | $79.43 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $128.82 | Facility | None | $81.28 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $95.50 | $95.50 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $28.84 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $67.61 | $87.10 |
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 $81.28 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $81.28 | $109.65 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $81.28 | $123.03 |
Hometown Health Setting Professional Modifier None Typical Low $0.72 Median $112.20 Typical High $173.78 | Professional | None | $0.72 | $112.20 | $173.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $0.32 | $31.62 | $47.86 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $0.41 | $87.10 | $123.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $4,265.80 | Facility | None | $97.72 | $97.72 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $85.11 | $107.15 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $32.36 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $74.13 | $114.82 |
4 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 $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $91.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 59 · Distinct service | $79.43 | $79.43 | $79.43 |
Where Nevada sits
The same service costs 4.2 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· 36th of 51
$107
AK $302UT $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.