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 $158.49 Median $1,318.26 Typical High $1,819.70 | Facility | None | $158.49 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $134.90 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $66.07 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $70.79 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $144.54 | Facility | None | $91.20 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $109.65 | $109.65 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $52.48 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $56.23 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $109.65 | $123.03 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $51.29 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $64.57 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $125.89 Typical High $190.55 | Professional | None | $1.91 | $125.89 | $190.55 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $1.35 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $1.35 | $54.95 | $91.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.54 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $0.54 | $69.18 | $97.72 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.91 Median $1.91 Typical High $169.82 | Professional | None (both parts) | $1.91 | $1.91 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $4,265.80 | Facility | None | $112.20 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $112.20 | $123.03 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $64.57 | $125.89 |
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 $77.62 | Professional | 52 · Reduced service | $69.18 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | FX · Film X-ray | $109.65 | $109.65 | $125.89 |
Where Nevada sits
The same service costs 5.6 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
$129
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.