How much rates vary
Facilitymedian $44 · 10th to 90th $33 to $52Professionalmedian $40 · 10th to 90th $29 to $62
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 $39.81 Median $39.81 Typical High $43.65 | Facility | None | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $33.88 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $34.67 | Professional | TC · Technical part | $20.42 | $25.70 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $10.72 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $52.48 | Facility | None | $33.11 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $37.15 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $12.59 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $24.55 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $29.51 | $40.74 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $16.60 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $21.38 | $40.74 |
Hometown Health Setting Professional Modifier None Typical Low $0.16 Median $39.81 Typical High $64.57 | Professional | None | $0.16 | $39.81 | $64.57 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.09 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $0.09 | $14.79 | $21.88 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.07 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $0.07 | $23.99 | $42.66 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $4,265.80 | Facility | None | $39.81 | $39.81 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $23.99 | $23.99 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $27.54 | $39.81 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $10.96 | $14.79 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $22.39 | $29.51 |
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 $19.95 Median $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.71 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $31.62 | $34.67 |
Where Nevada sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 30th of 51
$39.81
AK $117FL $28.84
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.