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 $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $131.83 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $109.65 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $194.98 | Facility | None | $123.03 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $46.77 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $1,096.48 | Facility | None | $234.42 | $338.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $87.10 | $151.36 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $107.15 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $0.81 Median $169.82 Typical High $245.47 | Professional | None | $0.81 | $169.82 | $245.47 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $0.36 | $42.66 | $75.86 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.45 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $0.45 | $120.23 | $169.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $4,265.80 | Facility | None | $147.91 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $95.50 | $147.91 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $48.98 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $104.71 | $169.82 |
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 $77.62 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $77.62 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $31.62 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $125.89 | $128.82 | $141.25 |
Where Nevada sits
The same service costs 4.3 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
$155
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.