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 $194.98 Median $1,230.27 Typical High $1,819.70 | Facility | None | $194.98 | $1,230.27 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $194.98 | $194.98 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $72.44 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $120.23 | $123.03 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $123.03 | $239.88 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $208.93 | Facility | None | $128.82 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $154.88 | $154.88 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $57.54 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $97.72 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $229.09 Typical High $281.84 | Facility | None | $60.26 | $229.09 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $169.82 | $257.04 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $64.57 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $199.53 | $288.40 |
Hometown Health Setting Professional Modifier None Typical Low $2.14 Median $204.17 Typical High $275.42 | Professional | None | $2.14 | $204.17 | $275.42 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.68 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $0.68 | $67.61 | $102.33 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.48 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $1.48 | $147.91 | $218.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $158.49 | $234.42 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $104.71 | $144.54 | $288.40 |
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 $97.72 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $39.81 | $39.81 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | CT · Older CT scanner | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $158.49 | $158.49 | $177.83 |
Where Nevada sits
The same service costs 6.2 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· 37th of 51
$209
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.