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 $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $120.23 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $28.84 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $123.03 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $154.88 | Facility | None | $95.50 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $141.25 | $141.25 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $26.92 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $114.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $676.08 Typical High $2,290.87 | Facility | None | $181.97 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $109.65 | $131.83 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $30.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $97.72 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $141.25 Typical High $199.53 | Professional | None | $1.00 | $141.25 | $199.53 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.30 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $0.30 | $32.36 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.69 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $0.69 | $102.33 | $144.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $95.50 | $131.83 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $29.51 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $109.65 | $141.25 |
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 $61.66 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $30.20 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $120.23 | $131.83 |
Where Nevada sits
The same service costs 3.5 times more in Alaska 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· 33rd of 51
$141
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.