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 $102.33 Median $112.20 Typical High $457.09 | Facility | None | $102.33 | $112.20 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $134.90 | Professional | None (both parts) | $91.20 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $28.84 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $69.18 | $72.44 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $123.03 | Facility | None | $77.62 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $95.50 | $95.50 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $26.92 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $69.18 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $338.84 Typical High $1,096.48 | Facility | None | $154.88 | $338.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $58.88 | $91.20 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $27.54 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $69.18 | $120.23 |
Hometown Health Setting Professional Modifier None Typical Low $0.54 Median $104.71 Typical High $154.88 | Professional | None | $0.54 | $104.71 | $154.88 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.23 Median $27.54 Typical High $43.65 | Professional | 26 · Professional part | $0.23 | $27.54 | $43.65 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.31 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $0.31 | $75.86 | $112.20 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $4,265.80 | Facility | None | $93.33 | $93.33 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $64.57 | $93.33 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $16.60 | $30.90 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $67.61 | $100.00 |
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 $50.12 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $20.42 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $79.43 | $81.28 | $89.13 |
Where Nevada sits
The same service costs 3.8 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· 38th of 51
$97.72
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.