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 $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $79.43 | $79.43 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $100.00 | $100.00 | $181.97 |
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 $74.13 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $74.13 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $123.03 | $141.25 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $37.15 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $104.71 | $141.25 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $39.81 Typical High $56.23 | Professional | None | $1.20 | $39.81 | $56.23 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $0.36 | $34.67 | $48.98 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.83 Median $5.25 Typical High $7.41 | Professional | TC · Technical part | $0.83 | $5.25 | $7.41 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $4,265.80 | Facility | None | $34.67 | $34.67 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $28.84 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $125.89 | $177.83 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $46.77 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $138.04 | $151.36 |
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 $53.70 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Where Nevada sits
The same service costs 4.2 times more in Nebraska 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· 48th of 51
$138
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.