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 $100.00 Median $109.65 Typical High $588.84 | Facility | None | $100.00 | $109.65 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $97.72 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 26 · Professional part | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $79.43 | $81.28 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $131.83 | Facility | None | $83.18 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $93.33 | $93.33 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $36.31 | Professional | 26 · Professional part | $16.60 | $16.60 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $77.62 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $457.09 Typical High $1,412.54 | Facility | None | $177.83 | $457.09 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $53.70 | $85.11 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $30.20 | Professional | 26 · Professional part | $15.49 | $19.05 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $69.18 Typical High $131.83 | Professional | TC · Technical part | $36.31 | $69.18 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.50 Median $100.00 Typical High $162.18 | Professional | None | $0.50 | $100.00 | $162.18 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $20.42 Typical High $29.51 | Professional | 26 · Professional part | $0.18 | $20.42 | $29.51 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.32 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $0.32 | $83.18 | $131.83 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $4,265.80 | Facility | None | $100.00 | $100.00 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $61.66 | $93.33 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $18.62 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $74.13 | $102.33 |
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 $48.98 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $79.43 | $87.10 |
Where Nevada sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 35th of 51
$97.72
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.