How much rates vary
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 $173.78 Median $173.78 Typical High $190.55 | Facility | None | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $112.20 | $114.82 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $208.93 | Facility | None | $131.83 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $162.18 | $162.18 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $53.70 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $109.65 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $1,513.56 Typical High $4,365.16 | Facility | None | $245.47 | $1,513.56 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $95.50 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $60.26 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $91.20 Typical High $190.55 | Professional | TC · Technical part | $44.67 | $91.20 | $190.55 |
Hometown Health Setting Professional Modifier None Typical Low $1.23 Median $173.78 Typical High $263.03 | Professional | None | $1.23 | $173.78 | $263.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.46 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $0.46 | $63.10 | $89.13 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.78 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $0.78 | $109.65 | $173.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $4,265.80 | Facility | None | $158.49 | $158.49 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $107.15 | $158.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $56.23 | $104.71 | $138.04 |
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 $85.11 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $33.88 | $34.67 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $134.90 | $138.04 | $151.36 |
Where Nevada sits
The same service costs 4.3 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· 34th of 51
$166
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.