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 $398.11 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $398.11 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $72.44 | $128.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $295.12 | $426.58 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $213.80 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $407.38 | Facility | None | $257.04 | $407.38 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $316.23 | $316.23 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $74.13 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $245.47 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $549.54 Typical High $2,089.30 | Facility | None | $251.19 | $549.54 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $346.74 | $478.63 | $741.31 |
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 $263.03 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $263.03 | $371.54 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $389.05 Typical High $537.03 | Professional | None | $5.62 | $389.05 | $537.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $89.13 | $131.83 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $4.47 | $309.03 | $457.09 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $467.74 | Professional | None (both parts) | $5.62 | $5.62 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $4,265.80 | Facility | None | $309.03 | $309.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $309.03 | $457.09 | $691.83 |
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 $239.88 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $295.12 | $562.34 |
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 $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $446.68 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $446.68 | $512.86 |
Where Nevada sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 34th of 51
$447
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.