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 $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $109.65 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $70.79 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $144.54 | Facility | None | $91.20 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $104.71 | $104.71 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $37.15 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $67.61 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $1,513.56 Typical High $4,365.16 | Facility | None | $154.88 | $1,513.56 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $109.65 | $144.54 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $42.66 | $67.61 |
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 $131.83 Typical High $186.21 | Professional | None | $0.93 | $131.83 | $186.21 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.38 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $0.38 | $42.66 | $64.57 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.55 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $0.55 | $85.11 | $120.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $4,265.80 | Facility | None | $109.65 | $109.65 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $104.71 | $131.83 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $72.44 | $134.90 |
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 $54.95 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $89.13 | $97.72 |
Where Nevada sits
The same service costs 4.3 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· 40th 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.