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 $389.05 Median $1,318.26 Typical High $1,819.70 | Facility | None | $389.05 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $346.74 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $134.90 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $436.52 | Professional | TC · Technical part | $208.93 | $208.93 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $537.03 | Facility | None | $338.84 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $407.38 | $407.38 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $229.09 | Professional | 26 · Professional part | $104.71 | $104.71 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $302.00 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Facility | None | $467.74 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $354.81 | $467.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $117.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $346.74 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $3.09 Median $380.19 Typical High $512.86 | Professional | None | $3.09 | $380.19 | $512.86 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.81 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $0.81 | $125.89 | $190.55 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $2.24 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $2.24 | $269.15 | $380.19 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $4,265.80 | Facility | None | $288.40 | $288.40 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $380.19 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $102.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $363.08 | $616.60 |
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 $173.78 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $69.18 | $69.18 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | FX · Film X-ray | $275.42 | $275.42 | $316.23 |
Where Nevada sits
The same service costs 6.8 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· 36th of 51
$427
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.