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 $275.42 Median $1,318.26 Typical High $1,819.70 | Facility | None | $275.42 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $269.15 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $93.33 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $323.59 | Professional | TC · Technical part | $186.21 | $186.21 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $151.36 | $173.78 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $288.40 | Facility | None | $181.97 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $218.78 | $218.78 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $72.44 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $147.91 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $338.84 Typical High $467.74 | Facility | None | $102.33 | $338.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $239.88 | $295.12 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $77.62 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $239.88 | $380.19 |
Hometown Health Setting Professional Modifier None Typical Low $2.95 Median $288.40 Typical High $380.19 | Professional | None | $2.95 | $288.40 | $380.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.78 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $0.78 | $81.28 | $128.82 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $2.19 | $213.80 | $302.00 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $4,265.80 | Facility | None | $218.78 | $218.78 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $213.80 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $70.79 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $181.97 | $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 $138.04 Median $138.04 Typical High $158.49 | Professional | 52 · Reduced service | $138.04 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $223.87 Typical High $251.19 | Professional | FX · Film X-ray | $218.78 | $223.87 | $251.19 |
Where Nevada sits
The same service costs 6.3 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· 39th of 51
$288
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.