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 $109.65 Median $109.65 Typical High $120.23 | Facility | None | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $74.13 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $138.04 | Facility | None | $87.10 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $281.84 | Professional | None (both parts) | $102.33 | $102.33 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $31.62 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $213.80 | Professional | TC · Technical part | $70.79 | $70.79 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $1,174.90 Typical High $3,311.31 | Facility | None | $165.96 | $1,174.90 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $61.66 | $112.20 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $36.31 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $30.90 | $85.11 | $141.25 |
Hometown Health Setting Professional Modifier None Typical Low $1.26 Median $162.18 Typical High $269.15 | Professional | None | $1.26 | $162.18 | $269.15 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.27 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $0.27 | $38.02 | $54.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $112.20 Typical High $229.09 | Professional | TC · Technical part | $1.00 | $112.20 | $229.09 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $74.13 | $114.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $35.48 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $85.11 | $131.83 |
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 $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Where Nevada sits
The same service costs 4.6 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· 39th of 51
$112
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.