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 $630.96 Median $1,318.26 Typical High $1,905.46 | Facility | None | $630.96 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $407.38 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $181.97 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $380.19 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $251.19 | $251.19 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $154.88 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $154.88 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $416.87 | Facility | None | $263.03 | $416.87 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $316.23 | $316.23 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $102.33 | $102.33 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $213.80 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $489.78 Typical High $954.99 | Facility | None | $199.53 | $489.78 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $549.54 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $117.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $457.09 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $457.09 | $954.99 |
Hometown Health Setting Professional Modifier None Typical Low $6.31 Median $457.09 Typical High $630.96 | Professional | None | $6.31 | $457.09 | $630.96 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.35 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $1.35 | $123.03 | $177.83 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.90 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $4.90 | $331.13 | $512.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $4,265.80 | Facility | None | $316.23 | $316.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $467.74 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $100.00 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $831.76 | Professional | TC · Technical part | $213.80 | $263.03 | $831.76 |
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 $239.88 Median $281.84 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $446.68 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $446.68 | $512.86 |
Where Nevada sits
The same service costs 6.6 times more in Vermont 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
$479
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.