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 $891.25 Median $1,548.82 Typical High $1,905.46 | Facility | None | $891.25 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $630.96 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $72.44 | $269.15 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $562.34 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $489.78 | $489.78 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $147.91 | $147.91 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $457.09 Typical High $758.58 | Professional | TC · Technical part | $426.58 | $457.09 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,445.44 Typical High $2,754.23 | Facility | None | $309.03 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,348.96 Typical High $2,398.83 | Professional | None (both parts) | $602.56 | $1,348.96 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $120.23 | $158.49 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,230.27 Typical High $2,137.96 | Professional | TC · Technical part | $478.63 | $1,230.27 | $2,137.96 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $426.58 | Professional | None | $4.90 | $4.90 | $426.58 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.89 Median $181.97 Typical High $269.15 | Professional | 26 · Professional part | $0.89 | $181.97 | $269.15 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Facility | None | $707.95 | $707.95 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $812.83 | Professional | None (both parts) | $275.42 | $549.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $141.25 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $165.96 | $407.38 | $645.65 |
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 $316.23 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $128.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $512.86 Median $724.44 Typical High $724.44 | Professional | FX · Film X-ray | $512.86 | $724.44 | $724.44 |
Where Nevada sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$631
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.