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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $114.82 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $50.12 | Professional | 26 · Professional part | $44.67 | $45.71 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $74.13 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $134.90 | Facility | None | $85.11 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $112.20 | $112.20 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $42.66 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $69.18 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $1,513.56 Typical High $4,365.16 | Facility | None | $144.54 | $1,513.56 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $109.65 | $147.91 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $46.77 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $95.50 | $162.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.93 Median $125.89 Typical High $177.83 | Professional | None | $0.93 | $125.89 | $177.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.38 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $0.38 | $47.86 | $67.61 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.55 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $0.55 | $77.62 | $107.15 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $104.71 | $128.82 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $75.86 | $141.25 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $95.50 | $104.71 |
Where Nevada sits
The same service costs 4.6 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
$120
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.