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 $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | TC · Technical part | $54.95 | $54.95 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $112.20 | $112.20 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $83.18 | Professional | 26 · Professional part | $60.26 | $60.26 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $51.29 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $102.33 | $109.65 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $58.88 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $50.12 | $77.62 |
Hometown Health Setting Professional Modifier None Typical Low $0.78 Median $54.95 Typical High $77.62 | Professional | None | $0.78 | $54.95 | $77.62 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.38 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $0.38 | $63.10 | $91.20 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $2.45 Typical High $3.47 | Professional | TC · Technical part | $0.41 | $2.45 | $3.47 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $4,265.80 | Facility | None | $67.61 | $67.61 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $57.54 | $63.10 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $95.50 | $134.90 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $69.18 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $74.13 | Professional | TC · Technical part | $45.71 | $69.18 | $74.13 |
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 $60.26 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $95.50 | $104.71 |
Where Nevada sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 43rd of 51
$120
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.