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 $1,023.29 Median $1,023.29 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,122.02 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $72.44 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $933.25 Typical High $1,047.13 | Professional | TC · Technical part | $812.83 | $933.25 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $407.38 | Facility | None | $257.04 | $407.38 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $933.25 | $933.25 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $66.07 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,905.46 | Professional | TC · Technical part | $870.96 | $870.96 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,548.82 | Professional | None (both parts) | $812.83 | $812.83 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $57.54 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $776.25 Typical High $1,445.44 | Professional | TC · Technical part | $758.58 | $776.25 | $1,445.44 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $125.89 Typical High $537.03 | Professional | None | $4.90 | $125.89 | $537.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $50.12 | $125.89 | $213.80 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $54.95 Typical High $323.59 | Professional | TC · Technical part | $4.47 | $54.95 | $323.59 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $4,265.80 | Facility | None | $316.23 | $316.23 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $263.03 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $954.99 | $1,737.80 |
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 $501.19 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $501.19 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | 53 · Discontinued | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | FX · Film X-ray | $812.83 | $812.83 | $891.25 |
Where Nevada sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 35th of 51
$933
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.