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 $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None (both parts) | $63.10 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $14.45 | $14.45 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $47.86 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $47.86 | $52.48 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $81.28 | Facility | None | $51.29 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | None (both parts) | $58.88 | $58.88 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $32.36 | Professional | 26 · Professional part | $13.80 | $13.80 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $44.67 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $204.17 Typical High $676.08 | Facility | None | $104.71 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $54.95 | $67.61 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $17.38 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $38.90 | $51.29 | $83.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.49 Median $70.79 Typical High $104.71 | Professional | None | $0.49 | $70.79 | $104.71 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $0.18 | $16.98 | $23.99 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.31 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $0.31 | $54.95 | $79.43 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $4,265.80 | Facility | None | $61.66 | $61.66 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | None (both parts) | $52.48 | $64.57 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $25.70 | Professional | 26 · Professional part | $13.18 | $15.49 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $44.67 | $72.44 |
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 $30.90 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $12.59 | $12.59 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | FX · Film X-ray | $50.12 | $50.12 | $54.95 |
Where Nevada sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 42nd of 51
$63.10
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.