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 $104.71 Median $104.71 Typical High $117.49 | Facility | None | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | None (both parts) | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $26.30 | $26.30 | $28.84 |
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 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $97.72 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $24.55 | $24.55 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $74.13 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $89.13 | $109.65 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $23.44 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $85.11 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $24.55 Typical High $34.67 | Professional | None | $1.00 | $24.55 | $34.67 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.30 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $0.30 | $25.70 | $37.15 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.69 Median $4.37 Typical High $6.03 | Professional | TC · Technical part | $0.69 | $4.37 | $6.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $4,265.80 | Facility | None | $30.90 | $30.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $44.67 | Professional | None (both parts) | $26.30 | $28.84 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $97.72 | $138.04 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $19.50 | $27.54 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $114.82 | $123.03 |
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 $52.48 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $85.11 | $93.33 |
Where Nevada sits
The same service costs 4.0 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
$105
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.