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 $263.03 Median $263.03 Typical High $288.40 | Facility | None | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $162.18 | $162.18 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $363.08 | Facility | None | $229.09 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $245.47 | $245.47 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $154.88 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $354.81 | Facility | None | $102.33 | $138.04 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $123.03 | $173.78 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $79.43 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $93.33 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $0.98 Median $204.17 Typical High $380.19 | Professional | None | $0.98 | $204.17 | $380.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.62 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $0.62 | $93.33 | $144.54 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.36 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $0.36 | $109.65 | $229.09 |
Hometown Health Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $4,265.80 | Facility | None | $281.84 | $281.84 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $162.18 | $251.19 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $151.36 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $104.71 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $147.91 | $158.49 |
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 $131.83 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | FX · Film X-ray | $208.93 | $208.93 | $234.42 |
Where Nevada sits
The same service costs 5.4 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· 31st of 51
$245
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.