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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $19.95 | $23.99 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $117.49 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $177.83 | Facility | None | $109.65 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $812.83 | Professional | None (both parts) | $131.83 | $131.83 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $22.39 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $851.14 | Professional | TC · Technical part | $109.65 | $109.65 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $676.08 Typical High $2,290.87 | Facility | None | $251.19 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $213.80 | Professional | None (both parts) | $54.95 | $87.10 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $21.88 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $177.83 | Professional | TC · Technical part | $40.74 | $64.57 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.54 Median $25.70 Typical High $213.80 | Professional | None | $0.54 | $25.70 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $21.38 Typical High $38.02 | Professional | 26 · Professional part | $0.18 | $21.38 | $38.02 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.36 Median $3.63 Typical High $177.83 | Professional | TC · Technical part | $0.36 | $3.63 | $177.83 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $4,265.80 | Facility | None | $134.90 | $134.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $67.61 | $131.83 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $24.55 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $38.90 | $107.15 | $199.53 |
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 $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $112.20 | $112.20 | $123.03 |
Where Nevada sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 39th of 51
$132
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.