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 $1,548.82 Typical High $1,905.46 | Facility | None | $630.96 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $380.19 | $380.19 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $72.44 | $263.03 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $295.12 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $630.96 | Professional | None (both parts) | $204.17 | $204.17 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $316.23 | Professional | 26 · Professional part | $147.91 | $147.91 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $165.96 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $467.74 Typical High $2,818.38 | Facility | None | $102.33 | $467.74 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,479.11 Typical High $2,398.83 | Professional | None (both parts) | $676.08 | $1,479.11 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $165.96 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,348.96 Typical High $2,137.96 | Professional | TC · Technical part | $537.03 | $1,348.96 | $2,137.96 |
Hometown Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $63.10 | Professional | None | $6.31 | $6.31 | $63.10 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.35 Median $173.78 Typical High $251.19 | Professional | 26 · Professional part | $1.35 | $173.78 | $251.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $4,265.80 | Facility | None | $331.13 | $331.13 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $295.12 | $346.74 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $269.15 | Professional | 26 · Professional part | $120.23 | $144.54 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $186.21 | $354.81 |
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 $190.55 Median $190.55 Typical High $316.23 | Professional | 52 · Reduced service | $190.55 | $190.55 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $75.86 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $512.86 | Professional | FX · Film X-ray | $302.00 | $302.00 | $512.86 |
Where Nevada sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 45th of 51
$380
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.