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 $154.88 Median $154.88 Typical High $169.82 | Facility | None | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $154.88 | $154.88 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $85.11 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $69.18 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $109.65 | $120.23 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $190.55 | Facility | None | $120.23 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $144.54 | $144.54 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $77.62 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $66.07 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $6,025.60 Typical High $17,782.79 | Facility | None | $154.88 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $151.36 | $223.87 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $44.67 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $436.52 | Professional | TC · Technical part | $75.86 | $128.82 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $1.07 Median $177.83 Typical High $251.19 | Professional | None | $1.07 | $177.83 | $251.19 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.27 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $0.27 | $67.61 | $125.89 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.81 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $0.81 | $102.33 | $144.54 |
Hometown 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 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $4,265.80 | Facility | None | $147.91 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $147.91 | $208.93 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $83.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $346.74 | Professional | TC · Technical part | $66.07 | $93.33 | $346.74 |
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 $75.86 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | FX · Film X-ray | $123.03 | $123.03 | $138.04 |
Where Nevada sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$174
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.