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 $169.82 Median $169.82 Typical High $186.21 | Facility | None | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $169.82 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $107.15 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $229.09 | Facility | None | $144.54 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $158.49 | $158.49 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $57.54 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $102.33 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $6,025.60 Typical High $17,782.79 | Facility | None | $251.19 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $177.83 | $257.04 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $66.07 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $120.23 | $165.96 | $446.68 |
Hometown Health Setting Professional Modifier None Typical Low $2.45 Median $208.93 Typical High $295.12 | Professional | None | $2.45 | $208.93 | $295.12 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.68 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $0.68 | $66.07 | $97.72 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.78 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $1.78 | $141.25 | $194.98 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $4,265.80 | Facility | None | $173.78 | $173.78 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $173.78 | $239.88 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $64.57 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $134.90 | $371.54 |
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 $85.11 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $33.88 | $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 4.4 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· 40th of 51
$200
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.