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 $138.04 Median $138.04 Typical High $151.36 | Facility | None | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $72.44 | $72.44 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $173.78 | Facility | None | $109.65 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $302.00 | Professional | None (both parts) | $128.82 | $128.82 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $60.26 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $67.61 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $6,025.60 Typical High $17,782.79 | Facility | None | $162.18 | $6,025.60 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $144.54 | $204.17 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $426.58 | Professional | TC · Technical part | $79.43 | $117.49 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $162.18 Typical High $229.09 | Professional | None | $1.51 | $162.18 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.54 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $0.54 | $72.44 | $104.71 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.00 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $1.00 | $89.13 | $125.89 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $4,265.80 | Facility | None | $134.90 | $134.90 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $478.63 | Professional | None (both parts) | $134.90 | $190.55 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $331.13 | Professional | TC · Technical part | $70.79 | $89.13 | $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 $69.18 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $109.65 | $120.23 |
Where Nevada sits
The same service costs 4.7 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
$162
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.