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 $275.42 Median $1,318.26 Typical High $1,819.70 | Facility | None | $275.42 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $245.47 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $57.54 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $173.78 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $257.04 | Facility | None | $158.49 | $257.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $194.98 | $194.98 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $54.95 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $138.04 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $467.74 | Facility | None | $102.33 | $323.59 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $213.80 | $309.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $257.04 | $407.38 |
Hometown Health Setting Professional Modifier None Typical Low $2.82 Median $275.42 Typical High $363.08 | Professional | None | $2.82 | $275.42 | $363.08 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.63 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $0.63 | $63.10 | $97.72 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $2.19 | $213.80 | $302.00 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $4,265.80 | Facility | None | $194.98 | $194.98 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $194.98 | $281.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $186.21 | $380.19 |
4 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 $123.03 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | CT · Older CT scanner | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | FX · Film X-ray | $194.98 | $194.98 | $223.87 |
Where Nevada sits
The same service costs 5.1 times more in Alaska 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· 40th of 51
$257
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.