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 $316.23 Median $1,318.26 Typical High $1,819.70 | Facility | None | $316.23 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $281.84 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $208.93 | $208.93 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $331.13 | Facility | None | $208.93 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $257.04 | $257.04 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $54.95 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $199.53 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $457.09 Typical High $467.74 | Facility | None | $102.33 | $457.09 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $269.15 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $275.42 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $3.09 Median $295.12 Typical High $407.38 | Professional | None | $3.09 | $295.12 | $407.38 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.63 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $0.63 | $64.57 | $97.72 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $234.42 Typical High $316.23 | Professional | TC · Technical part | $2.45 | $234.42 | $316.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $4,265.80 | Facility | None | $234.42 | $234.42 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $234.42 | $302.00 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $245.47 | $416.87 |
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 $141.25 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | CT · Older CT scanner | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | FX · Film X-ray | $223.87 | $223.87 | $257.04 |
Where Nevada sits
The same service costs 5.0 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· 39th of 51
$302
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.