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 $478.63 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $478.63 | $588.84 | $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 $446.68 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $446.68 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $436.52 | Facility | None | $275.42 | $436.52 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $338.84 | $338.84 | $776.25 |
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 $257.04 Median $257.04 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $257.04 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $630.96 | Facility | None | $588.84 | $588.84 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $371.54 | $446.68 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $91.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $371.54 | $602.56 |
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 $102.33 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $102.33 | $147.91 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $4.27 | $331.13 | $489.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.25 Median $5.25 Typical High $501.19 | Professional | None (both parts) | $5.25 | $5.25 | $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 $331.13 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $331.13 | $446.68 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $77.62 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $316.23 | $562.34 |
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 $295.12 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $117.49 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $467.74 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $467.74 | $512.86 |
Where Nevada sits
The same service costs 5.6 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· 40th 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.