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 $1,318.26 Typical High $1,905.46 | Facility | None | $630.96 | $1,318.26 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $354.81 | $389.05 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $107.15 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $288.40 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $177.83 | $190.55 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $295.12 | Facility | None | $181.97 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $676.08 | Professional | None (both parts) | $223.87 | $223.87 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $60.26 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $162.18 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $645.65 | Facility | None | $138.04 | $371.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $251.19 | $398.11 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $41.69 | $66.07 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $346.74 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $331.13 Typical High $446.68 | Professional | None | $4.90 | $331.13 | $446.68 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $77.62 | $112.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $4.07 | $251.19 | $426.58 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $4.90 Median $4.90 Typical High $331.13 | Professional | None (both parts) | $4.90 | $4.90 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $4,265.80 | Facility | None | $223.87 | $223.87 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $223.87 | $331.13 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $251.19 | $524.81 |
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 $194.98 Median $194.98 Typical High $316.23 | Professional | 52 · Reduced service | $194.98 | $194.98 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | 53 · Discontinued | $77.62 | $77.62 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $512.86 | Professional | FX · Film X-ray | $316.23 | $316.23 | $512.86 |
Where Nevada sits
The same service costs 5.5 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
$372
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.