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 $58.88 Median $58.88 Typical High $64.57 | Facility | None | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $177.83 | Professional | None (both parts) | $58.88 | $58.88 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $30.90 | $30.90 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $151.36 | Professional | TC · Technical part | $27.54 | $27.54 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $43.65 | $51.29 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $83.18 | Facility | None | $52.48 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $125.89 | Professional | None (both parts) | $54.95 | $54.95 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $28.84 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $26.30 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $60.26 | $112.20 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $36.31 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $28.18 | $70.79 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $0.59 Median $100.00 Typical High $229.09 | Professional | None | $0.59 | $100.00 | $229.09 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.18 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $0.18 | $34.67 | $51.29 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.41 Median $51.29 Typical High $194.98 | Professional | TC · Technical part | $0.41 | $51.29 | $194.98 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $4,265.80 | Facility | None | $64.57 | $64.57 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $64.57 | Professional | None (both parts) | $37.15 | $37.15 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $58.88 | $83.18 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $32.36 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $173.78 | Professional | TC · Technical part | $25.70 | $31.62 | $173.78 |
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 $29.51 Median $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $29.51 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | FX · Film X-ray | $46.77 | $46.77 | $51.29 |
Where Nevada sits
The same service costs 4.6 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· 34th of 51
$74.13
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.