How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $29.51 Median $32.36 Typical High $138.04 | Facility | None | $29.51 | $32.36 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | None (both parts) | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $11.22 | Professional | 26 · Professional part | $10.23 | $10.23 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | TC · Technical part | $19.05 | $19.05 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $58.88 | Professional | None (both parts) | $27.54 | $27.54 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $20.42 | Professional | 26 · Professional part | $9.55 | $9.55 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $17.78 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $26.30 | $31.62 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $10.72 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $20.42 | $33.11 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $91.20 Typical High $141.25 | Professional | None | $0.23 | $91.20 | $141.25 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.10 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $0.10 | $11.22 | $16.22 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.13 Median $81.28 Typical High $131.83 | Professional | TC · Technical part | $0.13 | $81.28 | $131.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $54.95 Typical High $131.83 | Professional | None (both parts) | $30.90 | $54.95 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $10.72 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $43.65 | $60.26 |
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 $14.79 Median $14.79 Typical High $16.22 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.46 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | FX · Film X-ray | $23.44 | $23.44 | $25.70 |
Where Nevada sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 44th of 51
$32.36
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.