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 $416.87 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $416.87 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $457.09 Typical High $562.34 | Professional | TC · Technical part | $323.59 | $457.09 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $436.52 | Facility | None | $269.15 | $436.52 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $776.25 | Professional | None (both parts) | $331.13 | $331.13 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $72.44 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $263.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $588.84 Typical High $954.99 | Facility | None | $199.53 | $588.84 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $363.08 | $478.63 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $398.11 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $426.58 Typical High $575.44 | Professional | None | $5.62 | $426.58 | $575.44 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $93.33 | $134.90 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $4.47 | $331.13 | $478.63 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $489.78 | Professional | None (both parts) | $5.62 | $5.62 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $4,265.80 | Facility | None | $331.13 | $331.13 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $331.13 | $478.63 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $70.79 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $323.59 | $602.56 |
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 5.4 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· 35th of 51
$457
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.