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 $109.65 Median $120.23 Typical High $295.12 | Facility | None | $109.65 | $120.23 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $93.33 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $30.20 | Professional | 26 · Professional part | $25.12 | $26.92 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $81.28 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $77.62 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $138.04 | Facility | None | $87.10 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $102.33 | $102.33 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $77.62 | $138.04 |
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 $75.86 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $75.86 | $114.82 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $33.11 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $81.28 | $134.90 |
Hometown Health Setting Professional Modifier None Typical Low $0.43 Median $104.71 Typical High $173.78 | Professional | None | $0.43 | $104.71 | $173.78 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.13 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $0.13 | $28.84 | $41.69 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.31 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $0.31 | $75.86 | $128.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $85.11 | $114.82 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $28.18 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $87.10 | $117.49 |
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 $87.10 Median $87.10 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $87.10 | $95.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
Where Nevada sits
The same service costs 3.8 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· 34th of 51
$110
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.