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 $144.54 Median $158.49 Typical High $489.78 | Facility | None | $144.54 | $158.49 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $120.23 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $42.66 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $102.33 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $177.83 | Facility | None | $109.65 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $138.04 | $138.04 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $39.81 | $39.81 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $95.50 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $1,096.48 | Facility | None | $218.78 | $338.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $83.18 | $131.83 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $53.70 | $97.72 | $169.82 |
Hometown Health Setting Professional Modifier None Typical Low $0.79 Median $144.54 Typical High $218.78 | Professional | None | $0.79 | $144.54 | $218.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $0.36 | $40.74 | $66.07 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.43 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $0.43 | $107.15 | $158.49 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $4,265.80 | Facility | None | $134.90 | $134.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $91.20 | $134.90 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $45.71 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $95.50 | $141.25 |
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 $70.79 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $28.84 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $112.20 | $114.82 | $128.82 |
Where Nevada sits
The same service costs 3.9 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
$141
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.