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 $114.82 Median $125.89 Typical High $295.12 | Facility | None | $114.82 | $125.89 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $112.20 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $25.70 | $27.54 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $85.11 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $74.13 | $87.10 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $141.25 | Facility | None | $89.13 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $107.15 | $107.15 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $25.70 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $81.28 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $676.08 | Facility | None | $181.97 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $95.50 | $112.20 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $30.90 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $83.18 | $147.91 |
Hometown Health Setting Professional Modifier None Typical Low $0.68 Median $120.23 Typical High $177.83 | Professional | None | $0.68 | $120.23 | $177.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.31 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $0.31 | $28.18 | $42.66 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.36 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $0.36 | $93.33 | $138.04 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $4,265.80 | Facility | None | $109.65 | $109.65 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $77.62 | $117.49 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $28.84 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $89.13 | $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 $57.54 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $91.20 | $100.00 |
Where Nevada sits
The same service costs 4.1 times more in Minnesota than in Florida. 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
$115
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.