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 $134.90 Median $134.90 Typical High $151.36 | Facility | None | $134.90 | $134.90 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $117.49 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $107.15 | $117.49 |
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 $128.82 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $128.82 | $128.82 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $26.30 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $102.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $676.08 Typical High $2,290.87 | Facility | None | $229.09 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $93.33 | $120.23 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $29.51 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $91.20 | $173.78 |
Hometown Health Setting Professional Modifier None Typical Low $0.85 Median $131.83 Typical High $213.80 | Professional | None | $0.85 | $131.83 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $0.32 | $30.20 | $45.71 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.54 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $0.54 | $102.33 | $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 $89.13 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $89.13 | $128.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $30.20 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $100.00 | $125.89 |
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 $64.57 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $26.92 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $102.33 | $109.65 | $120.23 |
Where Nevada sits
The same service costs 3.9 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· 32nd 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.