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 $239.88 Median $239.88 Typical High $269.15 | Facility | None | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $223.87 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $218.78 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $302.00 | Facility | None | $190.55 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $218.78 | $229.09 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $21.38 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $204.17 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $89.13 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $20.42 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $128.82 Typical High $331.13 | Professional | TC · Technical part | $69.18 | $128.82 | $331.13 |
Hometown Health Setting Professional Modifier None Typical Low $1.17 Median $208.93 Typical High $389.05 | Professional | None | $1.17 | $208.93 | $389.05 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $4,265.80 | Facility | None | $229.09 | $229.09 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $104.71 | $223.87 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $17.78 | $23.99 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $199.53 | $354.81 |
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 $120.23 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | FX · Film X-ray | $194.98 | $194.98 | $213.80 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 29th of 51
$229
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.