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 $190.55 Median $190.55 Typical High $208.93 | Facility | None | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $27.54 | Professional | 26 · Professional part | $23.99 | $25.12 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | TC · Technical part | $165.96 | $165.96 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $234.42 | Facility | None | $147.91 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $177.83 | $177.83 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $22.39 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $158.49 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $6,025.60 Typical High $17,782.79 | Facility | None | $354.81 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $181.97 | $263.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $25.70 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $251.19 | $457.09 |
Hometown Health Setting Professional Modifier None Typical Low $0.79 Median $213.80 Typical High $302.00 | Professional | None | $0.79 | $213.80 | $302.00 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.23 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $0.23 | $25.12 | $38.02 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.56 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $0.56 | $186.21 | $263.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $4,265.80 | Facility | None | $177.83 | $177.83 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $177.83 | $218.78 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $25.70 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $190.55 | $398.11 |
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 $95.50 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $38.02 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | FX · Film X-ray | $151.36 | $151.36 | $169.82 |
Where Nevada sits
The same service costs 3.3 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
$209
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.