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 $281.84 Median $1,318.26 Typical High $1,819.70 | Facility | None | $281.84 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $245.47 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $72.44 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $173.78 | $173.78 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $257.04 | Facility | None | $162.18 | $257.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $194.98 | $194.98 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $56.23 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $141.25 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $467.74 | Facility | None | $102.33 | $323.59 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $223.87 | $302.00 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $245.47 | $407.38 |
Hometown Health Setting Professional Modifier None Typical Low $3.24 Median $269.15 Typical High $354.81 | Professional | None | $3.24 | $269.15 | $354.81 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.65 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $0.65 | $66.07 | $97.72 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $2.57 | $204.17 | $302.00 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $4,265.80 | Facility | None | $199.53 | $199.53 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $199.53 | $288.40 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $54.95 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $181.97 | $380.19 |
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 $123.03 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | CT · Older CT scanner | $208.93 | $208.93 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | FX · Film X-ray | $199.53 | $199.53 | $223.87 |
Where Nevada sits
The same service costs 5.2 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· 42nd of 51
$257
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.