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 $165.96 Median $181.97 Typical High $524.81 | Facility | None | $165.96 | $181.97 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $165.96 | $165.96 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $95.50 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $213.80 | Professional | TC · Technical part | $72.44 | $72.44 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $208.93 | Facility | None | $131.83 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $363.08 | Professional | None (both parts) | $154.88 | $154.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $87.10 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $67.61 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $6,025.60 Typical High $17,782.79 | Facility | None | $162.18 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $177.83 | $245.47 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $79.43 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $79.43 | $154.88 | $446.68 |
Hometown Health Setting Professional Modifier None Typical Low $1.45 Median $204.17 Typical High $281.84 | Professional | None | $1.45 | $204.17 | $281.84 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $0.36 | $79.43 | $141.25 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.07 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $1.07 | $112.20 | $173.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $4,265.80 | Facility | None | $162.18 | $162.18 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $524.81 | Professional | None (both parts) | $162.18 | $229.09 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $93.33 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $363.08 | Professional | TC · Technical part | $69.18 | $100.00 | $363.08 |
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 $83.18 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 53 · Discontinued | $33.11 | $33.11 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | FX · Film X-ray | $134.90 | $134.90 | $147.91 |
Where Nevada sits
The same service costs 5.1 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
$195
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.