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 $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $158.49 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $104.71 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $218.78 | Facility | None | $138.04 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $147.91 | $147.91 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $51.29 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $97.72 | $234.42 |
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 $165.96 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $165.96 | $234.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $60.26 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $162.18 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $1.32 Median $199.53 Typical High $281.84 | Professional | None | $1.32 | $199.53 | $281.84 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $0.45 | $61.66 | $91.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.85 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $0.85 | $134.90 | $190.55 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $4,265.80 | Facility | None | $165.96 | $165.96 | $4,265.80 |
Select Health 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 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $165.96 | $223.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $57.54 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $131.83 | $354.81 |
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 $79.43 Median $79.43 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $31.62 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $128.82 | $128.82 | $141.25 |
Where Nevada sits
The same service costs 4.0 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· 43rd of 51
$186
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.