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 $30.90 Median $1,318.26 Typical High $1,819.70 | Facility | None | $30.90 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $75.86 | Professional | None (both parts) | $27.54 | $27.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $13.80 | Professional | 26 · Professional part | $9.55 | $11.22 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $64.57 | Professional | TC · Technical part | $16.22 | $16.22 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $33.11 | Facility | None | $20.89 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.59 Median $21.38 Typical High $38.02 | Professional | None (both parts) | $12.59 | $21.38 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $8.91 | $8.91 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $15.49 Typical High $28.18 | Professional | TC · Technical part | $12.59 | $15.49 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $56.23 Typical High $123.03 | Professional | None (both parts) | $25.12 | $56.23 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $10.47 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $47.86 Typical High $109.65 | Professional | TC · Technical part | $15.14 | $47.86 | $109.65 |
Hometown Health Setting Professional Modifier None Typical Low $1.17 Median $38.90 Typical High $66.07 | Professional | None | $1.17 | $38.90 | $66.07 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $11.22 | $15.85 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.07 Median $24.55 Typical High $56.23 | Professional | TC · Technical part | $1.07 | $24.55 | $56.23 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.17 Median $1.17 Typical High $38.02 | Professional | None (both parts) | $1.17 | $1.17 | $38.02 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $4,265.80 | Facility | None | $25.12 | $25.12 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.88 Typical High $144.54 | Professional | None (both parts) | $19.95 | $33.88 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $7.76 | $8.51 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $16.98 Typical High $100.00 | Professional | TC · Technical part | $11.22 | $16.98 | $100.00 |
2 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 FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $21.88 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 59 · Distinct service | $20.42 | $20.42 | $20.42 |
Where Nevada sits
The same service costs 4.8 times more in Kansas than in New York. 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· 46th of 51
$27.54
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.