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 $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $151.36 | $151.36 | $165.96 |
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 $97.72 Median $97.72 Typical High $107.15 | Professional | TC · Technical part | $97.72 | $97.72 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $194.98 | Facility | None | $123.03 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $331.13 | Professional | None (both parts) | $141.25 | $141.25 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $91.20 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $6,025.60 Typical High $17,782.79 | Facility | None | $223.87 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $158.49 | $229.09 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $58.88 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $436.52 | Professional | TC · Technical part | $107.15 | $154.88 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $177.83 Typical High $257.04 | Professional | None | $1.82 | $177.83 | $257.04 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $0.45 | $58.88 | $85.11 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.35 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $1.35 | $117.49 | $165.96 |
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 $151.36 Median $151.36 Typical High $4,265.80 | Facility | None | $151.36 | $151.36 | $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 $151.36 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $151.36 | $204.17 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $120.23 | $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 $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | FX · Film X-ray | $123.03 | $123.03 | $134.90 |
Where Nevada sits
The same service costs 4.4 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· 43rd of 51
$170
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.