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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | TC · Technical part | $77.62 | $77.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $112.20 | $112.20 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $72.44 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $104.71 | $128.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $83.18 | $199.53 |
Hometown Health Setting Professional Modifier None Typical Low $2.51 Median $263.03 Typical High $363.08 | Professional | None | $2.51 | $263.03 | $363.08 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.51 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $1.51 | $41.69 | $60.26 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $1.00 | $229.09 | $316.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None (both parts) | $2.51 | $2.51 | $2.51 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $4,265.80 | Facility | None | $363.08 | $363.08 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $5,011.87 | Professional | None (both parts) | $309.03 | $363.08 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $213.80 | $281.84 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $43.65 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $234.42 | $263.03 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $95.50 | $104.71 |
Where Nevada sits
The same service costs 5.2 times more in North Dakota 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· 34th of 51
$151
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.