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 $436.52 Median $602.56 Typical High $630.96 | Professional | None (both parts) | $436.52 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $467.74 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $446.68 | Facility | None | $275.42 | $446.68 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $794.33 | Professional | None (both parts) | $346.74 | $346.74 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $81.28 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $630.96 | Professional | TC · Technical part | $263.03 | $263.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $630.96 | Facility | None | $602.56 | $602.56 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $380.19 | $478.63 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $407.38 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $5.25 Median $436.52 Typical High $588.84 | Professional | None | $5.25 | $436.52 | $588.84 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $100.00 | $147.91 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $4.27 | $338.84 | $501.19 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $4,265.80 | Facility | None | $338.84 | $338.84 | $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 $338.84 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $338.84 | $457.09 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $323.59 | $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 $239.88 Median $302.00 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $120.23 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $489.78 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $489.78 | $512.86 |
Where Nevada sits
The same service costs 5.4 times more in Wyoming 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· 37th of 51
$457
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.