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 $169.82 Median $1,318.26 Typical High $1,819.70 | Facility | None | $169.82 | $1,318.26 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $144.54 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $95.50 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
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 $281.84 | Professional | None (both parts) | $128.82 | $128.82 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $42.66 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $87.10 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Facility | None | $199.53 | $199.53 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $141.25 | $158.49 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $47.86 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $114.82 | $181.97 |
Hometown Health Setting Professional Modifier None Typical Low $1.48 Median $158.49 Typical High $229.09 | Professional | None | $1.48 | $158.49 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.43 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $0.43 | $51.29 | $77.62 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $1.05 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $1.05 | $104.71 | $158.49 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $4,265.80 | Facility | None | $131.83 | $131.83 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $114.82 | $147.91 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $107.15 | $181.97 |
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 $74.13 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | FX · Film X-ray | $120.23 | $120.23 | $138.04 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$151
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.