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 $354.81 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $354.81 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $141.25 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $245.47 | $338.84 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $354.81 | Facility | None | $223.87 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $275.42 | $275.42 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $79.43 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $194.98 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $446.68 Typical High $954.99 | Facility | None | $199.53 | $446.68 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $309.03 | $467.74 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $218.78 | $389.05 | $588.84 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $398.11 Typical High $549.54 | Professional | None | $5.62 | $398.11 | $549.54 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $100.00 | $144.54 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $4.47 | $302.00 | $478.63 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $407.38 | Professional | None (both parts) | $5.62 | $5.62 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $4,265.80 | Facility | None | $275.42 | $275.42 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $275.42 | $398.11 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $77.62 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $239.88 | $588.84 |
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 $234.42 Median $239.88 Typical High $316.23 | Professional | 52 · Reduced service | $234.42 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $97.72 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $389.05 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $389.05 | $512.86 |
Where Nevada sits
The same service costs 5.9 times more in Wyoming 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· 31st of 51
$447
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.