How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | TC · Technical part | $61.66 | $61.66 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $91.20 | $91.20 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $33.11 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $56.23 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $75.86 | $79.43 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $30.20 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $50.12 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $0.78 Median $31.62 Typical High $38.90 | Professional | None | $0.78 | $31.62 | $38.90 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $4,265.80 | Facility | None | $38.02 | $38.02 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $83.18 | $102.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $67.61 | $123.03 |
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 $48.98 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 53 · Discontinued | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | FX · Film X-ray | $77.62 | $77.62 | $87.10 |
Where Nevada sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 41st of 51
$97.72
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.