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 $269.15 Median $269.15 Typical High $295.12 | Facility | None | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $218.78 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $87.10 | Professional | 26 · Professional part | $75.86 | $79.43 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $186.21 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $346.74 | Facility | None | $213.80 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $251.19 | $251.19 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $74.13 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $177.83 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,047.13 Typical High $2,951.21 | Facility | None | $416.87 | $1,047.13 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $186.21 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $89.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $131.83 | $316.23 |
Hometown Health Setting Professional Modifier None Typical Low $0.89 Median $257.04 Typical High $416.87 | Professional | None | $0.89 | $257.04 | $416.87 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.39 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $0.39 | $87.10 | $128.82 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.51 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $0.51 | $169.82 | $295.12 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $4,265.80 | Facility | None | $263.03 | $263.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $162.18 | $218.78 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $144.54 | $275.42 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $83.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $190.55 | $234.42 |
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 $131.83 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $131.83 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $53.70 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | FX · Film X-ray | $213.80 | $213.80 | $234.42 |
Where Nevada sits
The same service costs 5.0 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· 35th of 51
$263
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.