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 $138.04 Median $138.04 Typical High $154.88 | Facility | None | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $114.82 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $30.90 | Professional | 26 · Professional part | $24.55 | $27.54 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $91.20 | $112.20 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $173.78 | Facility | None | $109.65 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $131.83 | $131.83 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $25.70 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $104.71 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $676.08 Typical High $2,290.87 | Facility | None | $245.47 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $75.86 | $117.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $28.84 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $52.48 | $89.13 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $131.83 Typical High $218.78 | Professional | None | $0.71 | $131.83 | $218.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.28 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $0.28 | $29.51 | $43.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.42 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $0.42 | $107.15 | $169.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $4,265.80 | Facility | None | $131.83 | $131.83 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $83.18 | $128.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $100.00 | $128.82 |
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 $67.61 Median $69.18 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $27.54 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $107.15 | $112.20 | $123.03 |
Where Nevada sits
The same service costs 4.2 times more in Alaska than in New York. 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· 38th of 51
$132
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.