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 $263.03 Median $1,318.26 Typical High $1,819.70 | Facility | None | $263.03 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $389.05 | Professional | None (both parts) | $229.09 | $229.09 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $158.49 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $239.88 | Facility | None | $151.36 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $181.97 | $181.97 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $56.23 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $125.89 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $467.74 | Facility | None | $102.33 | $288.40 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $204.17 | $309.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $69.18 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $245.47 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $2.88 Median $269.15 Typical High $371.54 | Professional | None | $2.88 | $269.15 | $371.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.72 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $0.72 | $70.79 | $102.33 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $2.19 | $199.53 | $302.00 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $4,265.80 | Facility | None | $181.97 | $181.97 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $173.78 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $54.95 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $120.23 | $154.88 | $363.08 |
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 $114.82 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | CT · Older CT scanner | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | FX · Film X-ray | $186.21 | $186.21 | $208.93 |
Where Nevada sits
The same service costs 5.1 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· 40th of 51
$240
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.