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 $117.49 Median $128.82 Typical High $245.47 | Facility | None | $117.49 | $128.82 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $100.00 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $35.48 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $81.28 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $173.78 | Facility | None | $109.65 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $131.83 | $131.83 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $33.11 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $97.72 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $501.19 | Facility | None | $151.36 | $169.82 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $112.20 | $134.90 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $39.81 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $100.00 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.93 Median $114.82 Typical High $199.53 | Professional | None | $0.93 | $114.82 | $199.53 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.41 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $0.41 | $36.31 | $54.95 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.52 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $0.52 | $79.43 | $144.54 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $95.50 | $144.54 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $38.02 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $107.15 | $151.36 |
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 $64.57 | Professional | 52 · Reduced service | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $23.44 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $93.33 | $102.33 |
Where Nevada sits
The same service costs 3.7 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· 39th of 51
$132
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.