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 $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $165.96 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $72.44 | $75.86 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $97.72 | $100.00 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $234.42 | Facility | None | $147.91 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $165.96 | $165.96 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $70.79 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $93.33 | $194.98 |
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 $147.91 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $147.91 | $190.55 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $85.11 | $100.00 | $169.82 |
Hometown Health Setting Professional Modifier None Typical Low $1.35 Median $186.21 Typical High $288.40 | Professional | None | $1.35 | $186.21 | $288.40 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.72 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $0.72 | $79.43 | $123.03 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.63 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $0.63 | $107.15 | $165.96 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $4,265.80 | Facility | None | $177.83 | $177.83 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $69.18 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $131.83 | $186.21 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $79.43 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $100.00 | $134.90 |
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 $87.10 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | FX · Film X-ray | $141.25 | $141.25 | $154.88 |
Where Nevada sits
The same service costs 5.2 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· 40th of 51
$178
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.