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 $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $69.18 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $158.49 | Facility | None | $97.72 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $114.82 | $114.82 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $50.12 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $64.57 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $10,232.93 Typical High $29,512.09 | Facility | None | $154.88 | $10,232.93 | $29,512.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $489.78 | Professional | None (both parts) | $131.83 | $181.97 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $426.58 | Professional | TC · Technical part | $74.13 | $109.65 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $1.29 Median $147.91 Typical High $204.17 | Professional | None | $1.29 | $147.91 | $204.17 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.34 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $0.34 | $58.88 | $83.18 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.95 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $0.95 | $87.10 | $123.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $4,265.80 | Facility | None | $120.23 | $120.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $457.09 | Professional | None (both parts) | $120.23 | $169.82 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $56.23 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $338.84 | Professional | TC · Technical part | $66.07 | $83.18 | $338.84 |
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 $61.66 Median $61.66 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $97.72 | $109.65 |
Where Nevada sits
The same service costs 4.9 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
$145
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.