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 $1,318.26 Typical High $1,819.70 | Facility | None | $141.25 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $77.62 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $33.11 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $89.13 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $79.43 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $131.83 | Facility | None | $81.28 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $97.72 | $97.72 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $26.30 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $70.79 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $234.42 | Facility | None | $169.82 | $169.82 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $75.86 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.84 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $52.48 | $74.13 | $134.90 |
Hometown Health Setting Professional Modifier None Typical Low $2.24 Median $100.00 Typical High $173.78 | Professional | None | $2.24 | $100.00 | $173.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.63 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $0.63 | $30.20 | $46.77 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.62 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $1.62 | $72.44 | $125.89 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $2.24 Median $2.24 Typical High $147.91 | Professional | None (both parts) | $2.24 | $2.24 | $147.91 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $60.26 | $97.72 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $25.12 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $66.07 | $112.20 |
2 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 CT · Older CT scanner Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | CT · Older CT scanner | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | FX · Film X-ray | $97.72 | $97.72 | $112.20 |
Where Nevada sits
The same service costs 4.2 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· 41st of 51
$102
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.