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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $120.23 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $52.48 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $69.18 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $154.88 | Facility | None | $97.72 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $112.20 | $112.20 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $47.86 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $64.57 | $177.83 |
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 $131.83 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $131.83 | $186.21 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $56.23 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $426.58 | Professional | TC · Technical part | $75.86 | $112.20 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $1.35 Median $147.91 Typical High $208.93 | Professional | None | $1.35 | $147.91 | $208.93 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $0.36 | $58.88 | $85.11 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $1.00 | $87.10 | $123.03 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $457.09 | Professional | None (both parts) | $117.49 | $169.82 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $54.95 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $331.13 | Professional | TC · Technical part | $66.07 | $87.10 | $331.13 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $97.72 | $107.15 |
Where Nevada sits
The same service costs 4.9 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
$145
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.