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 $114.82 Median $114.82 Typical High $125.89 | Facility | None | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $72.44 | $72.44 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $158.49 | Facility | None | $100.00 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $107.15 | $107.15 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $38.02 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $69.18 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $3,388.44 Typical High $5,128.61 | Facility | None | $162.18 | $3,388.44 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $302.00 | Professional | None (both parts) | $100.00 | $147.91 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $42.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $263.03 | Professional | TC · Technical part | $64.57 | $95.50 | $263.03 |
Hometown Health Setting Professional Modifier None Typical Low $2.45 Median $123.03 Typical High $194.98 | Professional | None | $2.45 | $123.03 | $194.98 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $47.86 | $67.61 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $2.04 | $77.62 | $131.83 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.45 Median $2.45 Typical High $181.97 | Professional | None (both parts) | $2.45 | $2.45 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $107.15 | $151.36 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $43.65 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $77.62 | $218.78 |
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 $56.23 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $91.20 | $100.00 |
Where Nevada sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 44th of 51
$123
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.