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 $128.82 Median $128.82 Typical High $144.54 | Facility | None | $128.82 | $128.82 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $128.82 | $128.82 | $144.54 |
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 $75.86 Median $75.86 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $75.86 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $162.18 | Facility | None | $102.33 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $123.03 | $123.03 | $302.00 |
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 $70.79 Median $70.79 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $70.79 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $1,174.90 Typical High $3,311.31 | Facility | None | $169.82 | $1,174.90 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $134.90 | $234.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $60.26 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $186.21 Typical High $436.52 | Professional | TC · Technical part | $83.18 | $186.21 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $1.35 Median $151.36 Typical High $213.80 | Professional | None | $1.35 | $151.36 | $213.80 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.36 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $0.36 | $58.88 | $87.10 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $1.00 | $91.20 | $128.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $4,265.80 | Facility | None | $125.89 | $125.89 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $489.78 | Professional | None (both parts) | $125.89 | $181.97 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $58.88 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $389.05 | Professional | TC · Technical part | $72.44 | $89.13 | $389.05 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | FX · Film X-ray | $104.71 | $104.71 | $114.82 |
Where Nevada sits
The same service costs 4.9 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· 42nd of 51
$151
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.