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 $194.98 Median $194.98 Typical High $213.80 | Facility | None | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $154.88 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $85.11 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $109.65 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $251.19 | Facility | None | $158.49 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $181.97 | $181.97 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $79.43 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $102.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $169.82 | $194.98 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $95.50 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $107.15 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $0.81 Median $181.97 Typical High $309.03 | Professional | None | $0.81 | $181.97 | $309.03 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.32 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $0.32 | $89.13 | $138.04 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.50 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $0.50 | $81.28 | $173.78 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $4,265.80 | Facility | None | $194.98 | $194.98 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $120.23 | $120.23 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $138.04 | $204.17 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $112.20 | $162.18 |
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 $97.72 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | FX · Film X-ray | $154.88 | $154.88 | $173.78 |
Where Nevada sits
The same service costs 5.8 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· 37th of 51
$195
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.