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 $257.04 Median $870.96 Typical High $1,412.54 | Facility | None | $257.04 | $870.96 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $208.93 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $128.82 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $144.54 | $234.42 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $117.49 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $239.88 | Facility | None | $151.36 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $177.83 | $177.83 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $77.62 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $102.33 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $239.88 Typical High $645.65 | Facility | None | $107.15 | $239.88 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $190.55 | $213.80 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $123.03 | $199.53 |
Hometown Health Setting Professional Modifier None Typical Low $1.86 Median $218.78 Typical High $302.00 | Professional | None | $1.86 | $218.78 | $302.00 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.72 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $0.72 | $91.20 | $134.90 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.12 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $1.12 | $128.82 | $190.55 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $4,265.80 | Facility | None | $181.97 | $181.97 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $173.78 | $181.97 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $75.86 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $109.65 | $190.55 |
2 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 CT · Older CT scanner Typical Low $190.55 Median $194.98 Typical High $218.78 | Professional | CT · Older CT scanner | $190.55 | $194.98 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | FX · Film X-ray | $181.97 | $181.97 | $208.93 |
Where Nevada sits
The same service costs 18.2 times more in Vermont 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· 36th of 51
$224
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.