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 $61.66 Median $61.66 Typical High $69.18 | Facility | None | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None (both parts) | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | TC · Technical part | $44.67 | $44.67 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $79.43 | Facility | None | $50.12 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | None (both parts) | $58.88 | $58.88 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $16.22 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $42.66 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $1,047.13 Typical High $2,951.21 | Facility | None | $100.00 | $1,047.13 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $38.90 | $53.70 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $14.45 | $17.78 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $74.13 | Professional | TC · Technical part | $23.99 | $36.31 | $74.13 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $58.88 Typical High $97.72 | Professional | None | $0.36 | $58.88 | $97.72 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.16 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $0.16 | $17.38 | $26.92 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.20 Median $39.81 Typical High $70.79 | Professional | TC · Technical part | $0.20 | $39.81 | $70.79 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $4,265.80 | Facility | None | $61.66 | $61.66 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $40.74 | $57.54 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $18.20 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $38.90 | $53.70 |
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 $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | FX · Film X-ray | $50.12 | $50.12 | $54.95 |
Where Nevada sits
The same service costs 5.6 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· 33rd of 51
$61.66
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.