How much rates vary
Facilitymedian $158 · 10th to 90th $100 to $380Professionalmedian $155 · 10th to 90th $95 to $263
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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $128.82 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $107.15 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $181.97 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $181.97 | $194.98 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $30.20 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $162.18 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $676.08 | Facility | None | $181.97 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $114.82 | $144.54 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $70.79 | $109.65 | $269.15 |
Hometown Health Setting Professional Modifier None Typical Low $1.23 Median $89.13 Typical High $194.98 | Professional | None | $1.23 | $89.13 | $194.98 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.62 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $0.62 | $33.88 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.63 Median $51.29 Typical High $144.54 | Professional | TC · Technical part | $0.63 | $51.29 | $144.54 |
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 $89.13 Typical High $89.13 | Professional | None (both parts) | $69.18 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $102.33 | $154.88 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $34.67 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $125.89 | $173.78 |
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 $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $112.20 | $112.20 | $123.03 |
Where Nevada sits
The same service costs 4.9 times more in Wyoming 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· 31st of 51
$155
WY $501UT $102
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.