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 $398.11 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $398.11 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $138.04 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $275.42 | $338.84 | $562.34 |
Ambetter 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $354.81 | Facility | None | $218.78 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $794.33 | Professional | None (both parts) | $269.15 | $269.15 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $77.62 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $190.55 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $954.99 | Facility | None | $199.53 | $436.52 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $302.00 | $446.68 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $85.11 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $380.19 | $575.44 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $389.05 Typical High $524.81 | Professional | None | $5.62 | $389.05 | $524.81 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $95.50 | $138.04 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $4.47 | $295.12 | $478.63 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $398.11 | Professional | None (both parts) | $5.62 | $5.62 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $4,265.80 | Facility | None | $269.15 | $269.15 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $269.15 | $346.74 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $275.42 | $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 $229.09 Median $234.42 Typical High $316.23 | Professional | 52 · Reduced service | $229.09 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $95.50 Typical High $128.82 | Professional | 53 · Discontinued | $91.20 | $95.50 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $380.19 | $512.86 |
Where Nevada sits
The same service costs 5.6 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· 36th of 51
$407
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.