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 $354.81 Median $1,318.26 Typical High $1,819.70 | Facility | None | $354.81 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $316.23 | $316.23 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $102.33 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $208.93 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $398.11 | Facility | None | $251.19 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $302.00 | $302.00 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $81.28 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $223.87 | $223.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $467.74 Typical High $512.86 | Facility | None | $102.33 | $467.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $316.23 | $407.38 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $52.48 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $338.84 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.09 Median $338.84 Typical High $457.09 | Professional | None | $3.09 | $338.84 | $457.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.81 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $0.81 | $100.00 | $141.25 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.24 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $2.24 | $257.04 | $354.81 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $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 $281.84 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $281.84 | $416.87 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $79.43 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $275.42 | $512.86 |
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 $154.88 Median $154.88 Typical High $177.83 | Professional | 52 · Reduced service | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $269.15 Median $269.15 Typical High $302.00 | Professional | CT · Older CT scanner | $269.15 | $269.15 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $288.40 | Professional | FX · Film X-ray | $251.19 | $251.19 | $288.40 |
Where Nevada sits
The same service costs 6.0 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· 38th of 51
$355
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.