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 $389.05 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $389.05 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $128.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $331.13 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $338.84 | Facility | None | $213.80 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $776.25 | Professional | None (both parts) | $263.03 | $263.03 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $72.44 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $190.55 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $436.52 Typical High $954.99 | Facility | None | $194.98 | $436.52 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $295.12 | $446.68 | $707.95 |
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 $213.80 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $380.19 | $575.44 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $389.05 Typical High $524.81 | Professional | None | $5.62 | $389.05 | $524.81 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $91.20 | $131.83 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $4.47 | $295.12 | $478.63 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $389.05 | Professional | None (both parts) | $5.62 | $5.62 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $4,265.80 | Facility | None | $263.03 | $263.03 | $4,265.80 |
Select 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 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $263.03 | $389.05 | $676.08 |
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 $190.55 Median $275.42 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $275.42 | $588.84 |
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 $223.87 Median $229.09 Typical High $316.23 | Professional | 52 · Reduced service | $223.87 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $93.33 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | FX · Film X-ray | $371.54 | $371.54 | $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· 28th 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.